Individual
JESSICA CHAMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10535 165TH ST W, LAKEVILLE, MN 55044-5729
(952) 435-0022
Mailing address
10535 165TH ST W, LAKEVILLE, MN 55044-5729
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4254
MN
Other
Enumeration date
07/06/2023
Last updated
07/26/2023
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