Individual
JEANNE KETOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPCC
Contact information
Practice address
8800 HIGHWAY 7, SUITE 200, MINNEAPOLIS, MN 55426-3908
(952) 562-5733
(952) 548-8760
Mailing address
4635 ORLEANS LN N, PLYMOUTH, MN 55442-2502
(612) 810-7592
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
994
MN
Other
Enumeration date
06/08/2015
Last updated
06/11/2024
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