Individual
JESSICA LYNNE HAEFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. LPC-MH, LPCC
Contact information
Practice address
1710 E GRAND XING, MOBRIDGE, SD 57601-1414
(605) 845-2058
(605) 845-2062
Mailing address
30780 128TH ST, SELBY, SD 57472-5310
(605) 848-3349
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCMH2303
SD
Other
Enumeration date
05/21/2014
Last updated
11/01/2023
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