Individual
JACLYN ROSE SUCHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3490 LEXINGTON AVE N STE 205, SHOREVIEW, MN 55126-8044
(651) 486-3808
Mailing address
240 ROBERT DR, HASTINGS, MN 55033-8807
(651) 428-4423
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4950
MN
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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