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Individual

CATHERINE ANN JAKSHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADC, LPCC

Contact information

Practice address
1856 BEAM AVE STE 200, MAPLEWOOD, MN 55109-1162
(612) 269-6784
Mailing address
1180 CUSHING CIR APT 217, SAINT PAUL, MN 55108-5016
(612) 269-6784

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304962
MN
101YM0800X
Mental Health Counselor
Primary
2601
MN

Other

Enumeration date
10/07/2020
Last updated
02/18/2021
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