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NPI Code Detail

MEDICARE: JENNIFER WEIGELT LPCC

MEDICARE: JENNIFER WEIGELT LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorCC00318MN

General Provider Information

NPI Number : 1053690297
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER WEIGELT LPCC
Provider Business Mailing Address
First Line : 317 YORK AVE
Second Line :
City : SAINT PAUL
State : MN
Zip : 55130-4039
Country : US
Telephone Number : 612-872-2009
Fax Number :
Provider Business Practice Location Address
First Line : 317 YORK AVE
Second Line :
City : SAINT PAUL
State : MN
Zip : 55130-4039
Country : US
Telephone Number : 612-872-2009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2011
Last Update Date : 08/05/2011

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Directions to “ JENNIFER WEIGELT LPCC” Practice Location

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