Individual
JENNIFER MELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
8525 DAVENPORT ST NE, BLAINE, MN 55449-4224
(763) 234-2818
Mailing address
8525 DAVENPORT ST NE, BLAINE, MN 55449-4224
(763) 234-2818
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2809
MN
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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