person
Jacqueline Ruth Smalley, LPCC,LADC
Mental Health Counselor in Afton, Minnesota
NPI 1124632468

Jacqueline Ruth Smalley is a Mental Health Counselor based in Saint Paul, MN and is specialized in Mental Health. Jacqueline Ruth Smalley practices in Afton, MN and has the professional credentials of LPCC,LADC. The NPI Number for Jacqueline Ruth Smalley is 1124632468 and holds a License No. CC02558 (Minnesota).

The current practice location address for Jacqueline Ruth Smalley is 15489 45Th St S, Afton, MN and can be reached out via phone at 612-888-3433.

Location: 15489 45Th St S, Afton, MN, 55104-1526
person
Provider Profile Details
NPI Number
1124632468
Provider Name
Jacqueline Ruth Smalley
Credential
LPCC,LADC
Provider Entity Type
Individual
Gender
Female
Address
15489 45Th St S, Afton, MN, 55104-1526
Phone Number
612-888-3433
Fax Number
Provider Enumeration Date
09/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15489 45Th St S
City
State
Zip
55001-9681
Phone Number
612-888-3433
Fax Number
person
Provider Business Mailing Address Details
Address
15489 45Th St S
City
State
Zip
55001-9681
Phone Number
612-888-3433
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CC02558 (Minnesota)
Definition
Definition to come...
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