Individual
JENNA HALVORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2855 ANTHONY LN S STE 201, ST ANTHONY, MN 55418-2637
(651) 217-1480
Mailing address
84 WATER ST W APT 719, SAINT PAUL, MN 55107-4405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC03692
MN
101YP2500X
Professional Counselor
Primary
CC03692
MN
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
11/20/2014
Last updated
02/06/2026
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