Individual
JENNIFER ELLEN DASHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LADC
Contact information
Practice address
1101 E 78TH ST STE 100, BLOOMINGTON, MN 55420-1402
(952) 234-8604
(952) 854-5363
Mailing address
5024 LILAC DR N, BROOKLYN CENTER, MN 55429-3412
(612) 750-0795
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305567
MN
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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