Individual
JESSICA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2800 UNIVERSITY AVE SE, 202, MINNEAPOLIS, MN 55414-3232
(612) 638-2282
Mailing address
2800 UNIVERSITY AVE SE, 202, MINNEAPOLIS, MN 55414-3232
(612) 638-2282
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302422
MN
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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