Individual
JENNA DEANE SOUKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
601 ROBERT ST N, SAINT PAUL, MN 55155-2531
(651) 201-3563
Mailing address
601 ROBERT ST N, PO BOX 64899, ST PAUL, MN 55164
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
03/22/2023
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