Individual
JESSICA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10624 XAVIER AVE S, BLOOMINGTON, MN 55437-2726
(612) 245-2969
Mailing address
10624 XAVIER AVE S, BLOOMINGTON, MN 55437-2726
(612) 245-2969
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3510
MN
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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