Individual
JENNA M FOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1107 HAZELTINE BLVD STE 300, CHASKA, MN 55318-1065
(952) 679-2921
(952) 361-0775
Mailing address
1520 SAVANNA DR, SHAKOPEE, MN 55379-5855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00637
MN
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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