Individual
JESSICA ENNEKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2400 W 64TH ST, FRASER, RICHFIELD, MN 55423-1001
(612) 767-5166
(612) 767-5176
Mailing address
2400 W 64TH ST, FRASER, RICHFIELD, MN 55423-1001
(612) 767-5166
(612) 767-5176
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2375
MN
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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