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Organization
SUMMER COUNSELING AND BEHAVIORAL HEALTH SUMMER COUNSELING
Active
Organization
SUMMER COUNSELING AND BEHAVIORAL HEALTH SUMMER COUNSELING
Active
Other names
Summer Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SUMMER KOKES MA, LPCC (PRESIDENT)
(651) 327-0849
Entity
Organization
Contact information
Practice address
1687 WOODLANE DR STE 208, WOODBURY, MN 55125-3047
(651) 327-0849
Mailing address
1687 WOODLANE DR STE 208, WOODBURY, MN 55125-3047
(651) 327-0849
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
NULL
103G00000X
Clinical Neuropsychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/13/2019
Last updated
04/11/2022
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