Individual
JENNIFER ANN GULLICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC, NCC
Contact information
Practice address
400 E 1ST ST, MORRIS, MN 56267-1408
(320) 589-1313
Mailing address
400 E 1ST ST, MORRIS, MN 56267-1408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC01875
MN
101YM0800X
Mental Health Counselor
CC01875
MN
101YP2500X
Professional Counselor
CC01875
MN
Other
Enumeration date
09/11/2018
Last updated
01/20/2023
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