Individual
JESSICA LEE BAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2120 60TH AVE NE, WILLMAR, MN 56201-9140
(320) 905-4345
Mailing address
8612 ORANGE RD, SAINT JOSEPH, MN 56374-9798
(320) 905-2915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
09/07/2022
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