Individual
MRS. JENNIFER ANN BERTOLATUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1585 RICE STREET, ST. PAUL, MN 55117
(651) 487-8088
(651) 487-8105
Mailing address
1585 RICE STREET, ST. PAUL, MN 55117
(651) 487-8088
(651) 487-8105
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC00477
MN
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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