Individual provider · Type 1 NPI
Jessica Jean Warner, LICSW, CCPT
Counselor · St. Paul, MN
NPI number
1265037626
Active
Practice location
2265 Como Ave
St. Paul, MN 55108-1737
Fax (651) 621-8490
Mailing address
1890 Fox Ridge Dr Apt D
West St. Paul, MN 55118-3974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 24652 (MN) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1265037626
Jessica Jean Warner, LICSW, CCPT's National Provider Identifier is 1265037626, issued on Dec 3, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in St. Paul, MN. The record was last updated on Dec 3, 2020.