Individual
JINA KAY-LEBAKKEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,LMFT
Contact information
Practice address
20083 EXPLORER AVE N, FOREST LAKE, MN 55025-8992
(651) 261-6330
(612) 440-2209
Mailing address
20083 EXPLORER AVE N, FOREST LAKE, MN 55025-8992
(651) 261-6330
(612) 440-2209
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1079
MN
Other
Enumeration date
01/20/2009
Last updated
05/02/2024
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