Organization
JJ COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNMARIE E GIBSON (OWNER)
(507) 236-2162
Entity
Organization
Contact information
Practice address
112 W 1ST ST STE 104, FAIRMONT, MN 56031-1744
(507) 236-0139
Mailing address
112 W 1ST ST STE 104, FAIRMONT, MN 56031-1744
(507) 236-0139
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
08/24/2020
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