Individual
JENNIFER MARIE DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8550 HUDSON BLVD N, LAKE ELMO, MN 55042-5500
(651) 254-8580
Mailing address
992 INWOOD AVE N, OAKDALE, MN 55128-6625
(651) 362-5790
(651) 240-4251
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2571
MN
106H00000X
Marriage & Family Therapist
349
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447692645
NPI
HI
Enumeration date
07/29/2013
Last updated
08/16/2024
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