Individual
MRS. JESSICA LYNETTE VERBOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
5821 CEDAR LAKE RD S, SUITE 11, ST LOUIS PARK, MN 55416-1487
(612) 229-9790
Mailing address
5821 CEDAR LAKE RD S, SUITE 11, ST LOUIS PARK, MN 55416-1487
(612) 229-9790
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/03/2010
Last updated
01/21/2011
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