Individual
JENNIFER MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1101 E 78TH ST, SUITE 100, BLOOMINGTON, MN 55420-1400
(952) 854-5034
Mailing address
8948 NEILL LAKE RD # 152B, EDEN PRAIRIE, MN 55347-2043
(952) 261-4189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302986
MN
Other
Enumeration date
12/05/2013
Last updated
02/24/2017
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