Individual
JENNIFER KARIN LONDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT, NCC
Contact information
Practice address
515 N RIVERFRONT DR, SUITE 220, MANKATO, MN 56001-3471
(800) 438-1772
(262) 345-5531
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-6511
(800) 438-1772
(262) 345-5531
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2507
MN
101YM0800X
Mental Health Counselor
2507
MN
106H00000X
Marriage & Family Therapist
Primary
2507
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235564238
—
MN
01
—
2507
LICENSE NUMBER
MN
Enumeration date
09/09/2013
Last updated
04/11/2014
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