Individual
JESSICA JEAN WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, CCPT
Contact information
Practice address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(888) 364-5977
(651) 621-8490
Mailing address
1890 FOX RIDGE DR APT D, WEST ST PAUL, MN 55118-3974
(321) 525-1328
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
24652
MN
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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