Individual
JESSICA L BACHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 PARKLAWN AVE STE 380, EDINA, MN 55435-5156
(612) 203-2961
Mailing address
7600 PARKLAWN AVE STE 380, EDINA, MN 55435-5156
(612) 203-2961
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4717
MN
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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