Individual
JESSICA GROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11331 JEFFERSON ST NE, BLAINE, MN 55434-1802
(952) 201-7324
Mailing address
701 DECATUR AVE N, STE 109, GOLDEN VALLEY, MN 55427-4367
(763) 746-2400
(763) 746-2401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01216
MN
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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