Jj Counseling LLC
Social Worker, Clinical in Fairmont, MN. Organization (NPI-2).
NPI number1962067405
StatusActive
Last updated in NPPESAug 24, 2020
Details
- NPI
- 1962067405
- Entity type
- Organization (NPI-2)
- Legal business name
- Jj Counseling LLC
- Organization subpart
- No
- Enumeration date
- May 9, 2019
- Certification date
- Aug 24, 2020
- Last updated
- Aug 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
112 W 1st St Ste 104Fairmont, MN 56031-1744
Phone 507-236-0139
Mailing address
112 W 1st St Ste 104Fairmont, MN 56031-1744
Phone 507-236-0139
Authorized official
Annmarie E Gibson
Owner
5072362162
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Other Clinical Social Worker providers in Fairmont, MN
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