Individual
LISA MAE JAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
66139 145TH AVE, WABASHA, MN 55981-7614
(651) 560-0016
(888) 972-4451
Mailing address
66139 145TH AVE, WABASHA, MN 55981-7614
(651) 560-0016
(888) 972-4451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
02011
MN
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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