=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598591513
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JACQUELINE LAPLANT PHD, LMFT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/09/2024
-----------------------------------------------------
Last Update Date | 01/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4570 77TH ST W STE 235
-----------------------------------------------------
City | EDINA
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55435-5092
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 651-677-2430
-----------------------------------------------------
Fax | 651-666-1546
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4570 77TH ST W STE 235
-----------------------------------------------------
City | EDINA
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55435-5092
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 651-677-2430
-----------------------------------------------------
Fax | 651-666-1546
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 3994
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------