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Individual

JACKIE ELVEHJEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
37 COLLEGE AVE S, SAINT JOSEPH, MN 56374-2099
(320) 363-3236
Mailing address
1221 29TH AVE N, SAINT CLOUD, MN 56303-1645
(320) 424-3326

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC03244
MN

Other

Enumeration date
04/25/2023
Last updated
04/25/2023
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