Individual
JESSICA BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. L.P.C.C.
Contact information
Practice address
1875 STATION PARKWAY NW, ANDOVER, MN 55304
(763) 754-0903
Mailing address
1875 STATION PKWY NW, ANDOVER, MN 55304-3319
(763) 482-9598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00379
MN
Other
Enumeration date
12/06/2006
Last updated
04/01/2019
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