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

TaxonomyCodeLicense
Counselor Primary 101Y00000X24652 (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.