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NPI Code Detail

MEDICARE: JESSICA LEA RICE-VANDERPOEL MA, LPCC

MEDICARE:   JESSICA LEA RICE-VANDERPOEL  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
1101YM0800XMental Health CounselorMN

General Provider Information

NPI Number : 1881140614
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LEA RICE-VANDERPOEL MA, LPCC
Provider Business Mailing Address
First Line : 101 E BROADWAY
Second Line :
City : LITTLE FALLS
State : MN
Zip : 56345-3038
Country : US
Telephone Number : 651-402-0701
Fax Number :
Provider Business Practice Location Address
First Line : 101 E BROADWAY
Second Line :
City : LITTLE FALLS
State : MN
Zip : 56345-3038
Country : US
Telephone Number : 651-402-0701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2016
Last Update Date : 05/23/2025

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Directions to “ JESSICA LEA RICE-VANDERPOEL MA, LPCC” Practice Location

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