Individual
MRS. KARRIE ANN JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT, CEAP
Contact information
Practice address
23175 WOODLAND RD, LAKEVILLE, MN 55044-8264
(952) 469-4159
Mailing address
23175 WOODLAND RD, LAKEVILLE, MN 55044-8264
(952) 469-4159
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0911
MN
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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