Individual
JENNA AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 548-8653
(952) 548-8653
Mailing address
6283 MONTICELLO LN N, MAPLE GROVE, MN 55369-6285
(760) 457-8577
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC05511
MN
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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