Individual
JENNA MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 NORTHLAND DR, MENDOTA HEIGHTS, MN 55120-1288
(763) 330-9225
(833) 972-1118
Mailing address
1155 NORTHLAND DR, MENDOTA HEIGHTS, MN 55120-1288
(763) 330-9225
(833) 972-1118
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1174477350
MN
101YP2500X
Professional Counselor
1164121976
MN
103T00000X
Psychologist
Primary
1194195248
MN
103T00000X
Psychologist
1972084226
MN
103TC0700X
Clinical Psychologist
1962955302
MN
1041C0700X
Clinical Social Worker
1962152827
MN
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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