Individual
JENNA FAHLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPCC
Contact information
Practice address
655 W 12TH ST, RUSH CITY, MN 55069-5034
(715) 613-2699
Mailing address
655 W 12TH ST, RUSH CITY, MN 55069-5034
(715) 613-2699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1356
MN
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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