Organization
NORTHLIGHT MENTAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN JENSEN (PRACTICE MANAGER)
(651) 888-0651
Entity
Organization
Contact information
Practice address
4047 HIGHWAY 61 N STE 202, WHITE BEAR LAKE, MN 55110-4631
(651) 237-3102
Mailing address
4047 HIGHWAY 61 N STE 202, WHITE BEAR LAKE, MN 55110-4631
(651) 237-3102
(651) 383-1423
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
06/06/2025
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