Individual
JESSICA MOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1555 LUSITANO ST, SHAKOPEE, MN 55379-5405
(612) 629-7109
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
095275
IA
1041C0700X
Clinical Social Worker
33770
MN
Other
Enumeration date
05/06/2022
Last updated
11/21/2025
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