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Individual

JIMMY QUACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
111 3RD AVE S STE 100, MINNEAPOLIS, MN 55401-2551
(651) 313-8080
Mailing address
111 3RD AVE S STE 100, MINNEAPOLIS, MN 55401-2551

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4027
MN

Other

Enumeration date
10/03/2022
Last updated
01/01/2026
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