Individual provider · Type 1 NPI
Jackie Elvehjem
Mental Health Counselor · St. Cloud, MN
NPI number
1154019503
Active
Practice location
606 25th Ave S Ste 201
St. Cloud, MN 56301-4818
Mailing address
1221 29th Ave N
St. Cloud, MN 56303-1645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | CC03244 (MN) |
Mental Health Counselor: Definition to come...
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About NPI 1154019503
Jackie Elvehjem's National Provider Identifier is 1154019503, issued on Apr 25, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Cloud, MN. The record was last updated on Aug 28, 2026.