Individual
JENNIFER HOLDREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.M.F.T.
Contact information
Practice address
1875 STATION PKWY NW, ANDOVER, MN 55304-3319
(763) 482-9598
(612) 235-6447
Mailing address
1875 STATION PKWY NW, ANDOVER, MN 55304-3319
(763) 482-9598
(612) 235-6447
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1355
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102200
HEALTHPARTNERS
MN
01
—
190G6RU
BLUE CROSS BLUE SHIELD
MN
05
—
954082200
—
MN
Enumeration date
04/19/2006
Last updated
04/23/2020
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