Individual
JESSICA LEIGH KOEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1455 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-3374
(952) 428-4050
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(866) 603-0016
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4138
MN
106S00000X
Behavior Technician
—
MN
Other
Enumeration date
11/19/2019
Last updated
10/24/2022
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