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Individual

JENIFER ELIZABETH JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA LMFT LICSW

Contact information

Practice address
261 BROADWAY ST E, MONTICELLO, MN 55362
(763) 262-3077
(763) 262-1113
Mailing address
261 E BROADWAY ST, PO BOX 1342, MONTICELLO, MN 55362-9317
(763) 232-7403
(763) 262-1113

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
07448
MN
106H00000X
Marriage & Family Therapist
Primary
0875
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
390C5JO
BCBS
MN
01
46P17CO
BCBS
01
6267051
UBH
MN
Enumeration date
10/23/2006
Last updated
09/11/2025
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