Individual
LORENE JABOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LMFT
Contact information
Practice address
1550 E 78TH ST FL 1, RICHFIELD, MN 55423-4638
(612) 767-1683
Mailing address
1550 E 78TH ST FL 1, RICHFIELD, MN 55423-4638
(612) 767-1683
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2366
MN
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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