Organization
SPOON PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CLARK-VAIL LMFT (LMFT/OWNER)
(612) 226-3713
Entity
Organization
Contact information
Practice address
2960 SNELLING AVE N STE 210, ROSEVILLE, MN 55113-2458
(612) 226-3713
Mailing address
2960 SNELLING AVE N STE 210, ROSEVILLE, MN 55113-2458
(612) 226-3713
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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