Individual
DR. JESSICA LYNN GOURNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LP
Contact information
Practice address
579 WELLS ST, SAINT PAUL, MN 55130-4134
(651) 793-3803
(651) 793-3809
Mailing address
7401 METRO BLVD, STE 525, EDINA, MN 55439-3059
(651) 793-3803
(651) 793-3809
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 8592
MN
Other
Enumeration date
06/02/2015
Last updated
04/18/2019
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