Individual
JENNIFER HOCUM ATHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
7200 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5571
(763) 200-1466
(844) 691-5933
Mailing address
18904 GLADSTONE BLVD N, MAPLE GROVE, MN 55311-1134
(303) 641-4828
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CC1291
MN
101YM0800X
Mental Health Counselor
CC1291
MN
101YP2500X
Professional Counselor
Primary
1291
MN
Other
Enumeration date
02/04/2010
Last updated
04/28/2021
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