Individual
JENNIFER S WHITCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433
(612) 767-7222
Mailing address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(763) 913-1182
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3314
MN
106H00000X
Marriage & Family Therapist
Primary
3314
MN
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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