Individual
JESSICA JAYE FEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 NORTHWOODS DR, ARDEN HILLS, MN 55112-6966
(651) 787-9600
Mailing address
14070 FOUNTAIN AVE N, HUGO, MN 55038-9463
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304546
MN
101YM0800X
Mental Health Counselor
Primary
2041
MN
Other
Enumeration date
08/25/2016
Last updated
05/04/2023
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