person
Jackie Marie Wood, LPCC
Professional Counselor in Mankato, Minnesota
NPI 1790274959

Jackie Marie Wood is a Professional Counselor based in Mankato, MN and is specialized in Professional. Jackie Marie Wood practices in Mankato, MN and has the professional credentials of LPCC. The NPI Number for Jackie Marie Wood is 1790274959 and holds a License No. CC01773 (Minnesota).

The current practice location address for Jackie Marie Wood is 710 S 2Nd St, Mankato, MN and can be reached out via phone at 507-625-7660 and via fax at 507-625-8998.

Location: 710 S 2Nd St, Mankato, MN, 56001-3810
person
Provider Profile Details
NPI Number
1790274959
Provider Name
Jackie Marie Wood
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
710 S 2Nd St, Mankato, MN, 56001-3810
Phone Number
507-625-7660
Fax Number
507-625-8998
Provider Enumeration Date
05/03/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CC01773 01 MN LICENSED PROFESSIONAL CLINICAL COUNSELOR
institution
Provider Business Practice Location Address Details
Address
710 S 2Nd St
City
State
Zip
56001-3810
Phone Number
507-625-7660
Fax Number
507-625-8998
person
Provider Business Mailing Address Details
Address
710 S 2Nd St
City
State
Zip
56001-3810
Phone Number
507-625-7660
Fax Number
507-625-8998
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CC01773 (Minnesota)
Definition
Definition to come...
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