Individual
JEANNIE MARIE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 STILLWATER RD # 101, MAHTOMEDI, MN 55115-2060
(651) 461-6766
Mailing address
760 STILLWATER RD # 101, MAHTOMEDI, MN 55115-2060
(651) 461-6766
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4194
MN
Other
Enumeration date
04/27/2018
Last updated
03/02/2022
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