Individual
JENNIFER LYN NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1301 7TH ST E, SAINT PAUL, MN 55106-4039
(651) 332-5502
(651) 332-5738
Mailing address
1301 7TH ST E, SAINT PAUL, MN 55106-4039
(651) 332-5502
(651) 332-5738
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
101Y00000X
MN
101YM0800X
Mental Health Counselor
Primary
101YM0800X
MN
Other
Enumeration date
04/03/2014
Last updated
04/09/2014
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