Organization
PIVOTAL PROCESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY JEZIERSKI MA, LPCC (OWNER/CLINICAL COUNSELOR)
(952) 999-3196
Entity
Organization
Contact information
Practice address
18297 DUNBURY AVE, FARMINGTON, MN 55024-7242
(952) 999-3196
Mailing address
PO BOX 213, FARMINGTON, MN 55024
(952) 999-3196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/27/2022
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