Organization
SUMMER COUNSELING AND BEHAVIORAL HEALTH SUMMER COUNSELING
Active
Other names
Summer Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SUMMER KOKES MA, LPCC (PRESIDENT)
(651) 327-0849
Entity
Organization
Contact information
Practice address
1687 WOODLANE DR STE 208, WOODBURY, MN 55125-3047
(651) 327-0849
Mailing address
1687 WOODLANE DR STE 208, WOODBURY, MN 55125-3047
(651) 327-0849
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/13/2019
Last updated
04/11/2022
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