Individual
JESSICA K BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3901 CHICAGO AVE, MINNEAPOLIS, MN 55407-2614
(612) 824-0415
Mailing address
3337 43RD AVE S, MINNEAPOLIS, MN 55406-2252
(651) 340-7029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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