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Individual

MRS. JENNIFER LYNN LARKEY I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
7041 20TH AVE, CENTERVILLE, MN 55038-9737
(612) 599-3811
Mailing address
15821 MAKAH ST NW, ANDOVER, MN 55304-2244
(612) 599-3811

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01287
MN
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
$$$$$$$$$
DO NOT HAVE
Enumeration date
01/11/2018
Last updated
09/20/2023
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