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Individual
JENNIFER ANN GULLICKSON
Active
Individual
JENNIFER ANN GULLICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC01875
MN
101YM0800X
Mental Health Counselor
CC01875
MN
101YP2500X
Professional Counselor
CC01875
MN
Other
Enumeration date
09/11/2018
Last updated
01/20/2023
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