Individual
JENNIFER LYNN URBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
4255 PHEASANT RIDGE DR NE STE 412, BLAINE, MN 55449-5066
(763) 703-3754
(763) 703-3725
Mailing address
73 E GOLDEN LAKE RD, CIRCLE PINES, MN 55014-1702
(651) 317-9081
(763) 703-3725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1702
MN
Other
Enumeration date
01/04/2018
Last updated
04/22/2022
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