Individual
ALYSSA JAYNE YOUNGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
280 SMITH AVE N, STE 450, ST PAUL, MN 55102-2481
(651) 241-5959
(651) 241-5958
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18804
MN
Other
Enumeration date
11/23/2021
Last updated
11/30/2023
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