Individual
JENNIFER L TICHENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LMFT
Contact information
Practice address
2103 COUNTY ROAD D E, SUITE A, MAPLEWOOD, MN 55109-5357
(651) 338-9816
(651) 305-0277
Mailing address
2103 COUNTY ROAD D E, SUITE A, MAPLEWOOD, MN 55109-5357
(651) 338-9816
(651) 305-0277
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2627
MN
Other
Enumeration date
12/21/2012
Last updated
08/14/2016
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