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Individual
MS. JENNIFER L. COOLIDGE
Active
Individual
MS. JENNIFER L. COOLIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
83
MN
101YP2500X
Professional Counselor
Primary
0083
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
03/23/2007
Last updated
01/01/2025
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