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Individual

DAVID AURELIO JARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8200 HUMBOLDT AVE S STE 100, BLOOMINGTON, MN 55431-1433
(952) 236-7891
Mailing address
8200 HUMBOLDT AVE S STE 306, BLOOMINGTON, MN 55431-1453
(952) 236-7891

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/08/2018
Last updated
12/08/2018
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