Individual
JESSIE DAWN LEADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
3751 NICOLLET AVE, MINNEAPOLIS, MN 55409-1281
(612) 605-3289
(612) 605-3289
Mailing address
3140 40TH AVE S, MINNEAPOLIS, MN 55406-2225
(612) 296-4144
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3477
MN
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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