Individual
JESSICA AYUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1801 AMERICAN BLVD E, BLOOMINGTON, MN 55425-1232
(651) 529-1975
Mailing address
1801 AMERICAN BLVD E, BLOOMINGTON, MN 55425-1232
(651) 529-1975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3943
MN
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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