Individual
JENNIFER HAUT-PROKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408-2952
(651) 409-3315
Mailing address
1792 HUBBARD AVE, SAINT PAUL, MN 55104-1134
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4366
MN
Other
Enumeration date
11/20/2023
Last updated
11/29/2023
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