Organization
WILD & FREE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE JENSEN MA, LPCC, LADC (OWNER)
(763) 244-6516
Entity
Organization
Contact information
Practice address
1250 MOORE LAKE DR E, FRIDLEY, MN 55432-5134
(763) 244-6516
Mailing address
1250 MOORE LAKE DR E STE 205C, FRIDLEY, MN 55432-5176
(763) 244-6516
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/04/2023
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