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Individual

JESSICA A SZMANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC, LADC

Contact information

Practice address
145 KING RD, WYOMING, MN 55092-9711
(612) 201-2591
Mailing address
315 LAKESHORE DR, WYOMING, MN 55092-9748
(612) 234-2605

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305777
MN
101YP2500X
Professional Counselor
Primary
CC04415
MN

Other

Enumeration date
05/22/2023
Last updated
09/10/2024
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