Healthcare Provider Details

I. General information

NPI: 1649182940
Provider Name (Legal Business Name): JENNIFER DUNCAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 10TH ST NW STE 2
MILACA MN
56353-1737
US

IV. Provider business mailing address

8596 DEERWOOD RD
PRINCETON MN
55371-0015
US

V. Phone/Fax

Practice location:
  • Phone: 320-983-2335
  • Fax:
Mailing address:
  • Phone: 763-760-9542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5862
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: