Individual
JESSICA FARUQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1611 COUNTY ROAD B W STE 218, ROSEVILLE, MN 55113-4053
(612) 389-9191
Mailing address
1611 COUNTY ROAD B W STE 218, ROSEVILLE, MN 55113-4053
(612) 389-9191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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