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NPI Code Detail

MEDICARE: JENNIFER KOKES MA, LPCC

MEDICARE: JENNIFER KOKES MA, 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 Counselor1277MN
2101YP2500XProfessional CounselorCC01277MN

General Provider Information

NPI Number : 1689026155
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER KOKES MA, LPCC
Provider Business Mailing Address
First Line : 7835 3RD ST N STE 208
Second Line :
City : OAKDALE
State : MN
Zip : 55128-5445
Country : US
Telephone Number : 651-327-0849
Fax Number : 651-383-4557
Provider Business Practice Location Address
First Line : 7835 3RD ST N STE 208
Second Line :
City : OAKDALE
State : MN
Zip : 55128-5445
Country : US
Telephone Number : 651-327-0849
Fax Number : 651-383-4557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2016
Last Update Date : 01/17/2024

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Directions to “ JENNIFER KOKES MA, LPCC” Practice Location

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