Individual
DR. JENNIFER G ENSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., L.P.
Contact information
Practice address
7372 KIRKWOOD CT, MAPLE GROVE, MN 55369-5202
(763) 416-4167
(763) 416-4137
Mailing address
17730 GIBBON ST NW, RAMSEY, MN 55303-5510
(763) 274-2986
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP4639
MN
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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