Individual
KIMBERLY JARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPCC
Contact information
Practice address
701 DELLWOOD ST S, CAMBRIDGE, MN 55008-1920
(763) 689-8700
Mailing address
5155 E RIVER RD, FRIDLEY, MN 55421-1025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2198
MN
101YP2500X
Professional Counselor
Primary
2198
MN
Other
Enumeration date
09/25/2019
Last updated
01/07/2020
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