Individual
STEFANIE JANET JAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 DOWNTOWN PLZ, FAIRMONT, MN 56031-1726
(507) 399-2149
(507) 399-2159
Mailing address
117 DOWNTOWN PLZ, FAIRMONT, MN 56031-1726
(507) 399-2149
(507) 399-2159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
21086
MN
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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