Individual
JESSICA MARIE SHOULER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
24573 DODD ROAD, LE CENTER, MN 56057
(612) 998-6173
Mailing address
24573 DODD RD, LE CENTER, MN 56057-4056
(612) 998-6173
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3158
MN
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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