Healthcare Provider Details

I. General information

NPI: 1437070646
Provider Name (Legal Business Name): JENNIFER PAIGE EVERETT LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNY EVERETT LPCC

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 E 4TH ST
DULUTH MN
55805-2219
US

IV. Provider business mailing address

1102 E 4TH ST
DULUTH MN
55805-2219
US

V. Phone/Fax

Practice location:
  • Phone: 218-310-8896
  • Fax: 218-206-6276
Mailing address:
  • Phone: 218-216-1731
  • Fax: 218-206-6276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5589
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: