Individual
JESSICA K WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD LP
Contact information
Practice address
11850 BLACKFOOT ST NW STE 405, COON RAPIDS, MN 55433-2773
(763) 236-0888
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
LP7271
MN
Other
Enumeration date
01/22/2021
Last updated
10/14/2025
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