Individual
JENNIFER LYNN PHOENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
15030 ZEOLITE ST NW, RAMSEY, MN 55303-4301
(651) 274-9810
Mailing address
15030 ZEOLITE ST NW, RAMSEY, MN 55303-4301
(651) 274-9810
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2888
MN
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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