Individual
JESSICA DEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
11280 86TH AVE N, MAPLE GROVE, MN 55369-4510
(763) 400-7828
Mailing address
1034 TYLER LN, UPLAND, CA 91784-9279
(612) 581-6831
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5122
MN
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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