Individual
JENNIFER RUTH STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1801 AMERICAN BLVD E STE 1, BLOOMINGTON, MN 55425-1230
(952) 767-2267
(612) 728-5301
Mailing address
2400 W 64TH ST, RICHFIELD, MN 55423-1001
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3599
MN
Other
Enumeration date
06/23/2015
Last updated
12/06/2019
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