Individual
JENNY LYNN KRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1833 3RD AVE, ANOKA, MN 55303-2424
(763) 421-5535
(763) 433-0226
Mailing address
1833 3RD AVE, ANOKA, MN 55303-2424
(763) 421-5535
(763) 433-0226
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC00820
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174846802
—
MN
Enumeration date
03/09/2010
Last updated
05/22/2012
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