Individual
MS. JENNIFER L. COOLIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPCC
Contact information
Practice address
12099 LINDSTROM LN, LINDSTROM, MN 55045-9543
(651) 212-5202
(844) 231-8867
Mailing address
4350 TRENTON LN N APT 320, MINNEAPOLIS, MN 55442-2828
(651) 212-5202
(844) 231-8867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
83
MN
101YP2500X
Professional Counselor
Primary
0083
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
03/23/2007
Last updated
01/01/2025
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