Individual
JENNIFER HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LPCC
Contact information
Practice address
400 WASHINGTON ST STE 221, NORTHFIELD, MN 55057-2027
(612) 470-7031
Mailing address
400 WASHINGTON ST STE 221, NORTHFIELD, MN 55057-2027
(612) 470-7031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304515
MN
101YM0800X
Mental Health Counselor
Primary
CC0238
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164039392
COMMERCIAL
MN
05
—
1164039392
—
MN
Enumeration date
10/01/2020
Last updated
11/18/2025
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