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Individual

JENITA LEE PACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
7800 METRO PKWY STE 300, BLOOMINGTON, MN 55425-1509
(612) 361-9325
Mailing address
7800 METRO PKWY STE 300, BLOOMINGTON, MN 55425-1509
(612) 361-9325

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
01928
MN

Other

Enumeration date
02/06/2017
Last updated
02/06/2017
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