Individual
JAN HAFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
9245 QUANTRELLE AVE NE, OTSEGO, MN 55330-0168
(763) 746-9492
(763) 746-3685
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 379-1718
(651) 379-1738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC00924
MN
101YP2500X
Professional Counselor
Primary
CC00924
MN
Other
Enumeration date
08/19/2008
Last updated
11/15/2018
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