Organization
MEADOWLARK COUNSELING AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HOCUM ATHERTON LPCC (OWNER)
(303) 641-4828
Entity
Organization
Contact information
Practice address
18904 GLADSTONE BLVD N, MAPLE GROVE, MN 55311-1134
(303) 641-4828
Mailing address
18904 GLADSTONE BLVD N, MAPLE GROVE, MN 55311-1134
(303) 641-4828
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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