Individual
TITUS B JUYENNEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1812 105TH LN NW, COON RAPIDS, MN 55433-4702
(651) 263-6291
Mailing address
1812 105TH LN NW, COON RAPIDS, MN 55433-4702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/24/2025
Last updated
05/24/2025
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