Individual
JESSICA L HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC-S
Contact information
Practice address
8590 EDINBURGH CENTER DR, BROOKLYN PARK, MN 55443-3723
(763) 425-5959
(763) 425-5929
Mailing address
8590 EDINBURGH CENTER DR, BROOKLYN PARK, MN 55443-3723
(612) 462-0540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304845
MN
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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