Individual provider · Type 1 NPI

Jessica L. Waage, LPCC

Mental Health Counselor · Minneapolis, MN

NPI number 1194296459 Active

Practice location

715 S 8th St
Minneapolis, MN 55404-1210

Call (612) 873-6963 Map

Mailing address

701 Park Ave
Minneapolis, MN 55415-1623

Other practice locations

  • 8530 Eagle Point Blvd Ste 100, Lake Elmo, MN 55042-8648 · (612) 562-6766

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3510 (MN)
Counselor 101Y00000X2014 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1194296459

Jessica L. Waage, LPCC's National Provider Identifier is 1194296459, issued on Dec 16, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 17, 2023.