Individual
JACQUELINE MARIE THEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LPCC
Contact information
Practice address
225 3RD AVE NW, HUTCHINSON, MN 55350-1623
(320) 455-9888
(320) 587-5390
Mailing address
225 3RD AVE NW, HUTCHINSON, MN 55350-1623
(320) 455-9888
(320) 587-5390
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
284917
MN
101YM0800X
Mental Health Counselor
Primary
CC00794
MN
Other
Enumeration date
08/15/2013
Last updated
04/01/2022
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