Individual provider · Type 1 NPI
Jennie Beach, MSW LICSW
Mental Health Counselor · Minnetonka, MN
NPI number
1396707030
Active
Practice location
18301 Highway 7
Minnetonka, MN 55345-4114
Mailing address
5125 County Road 101
Minnetonka, MN 55345-4156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 30424 (MN) |
Mental Health Counselor: Definition to come...
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About NPI 1396707030
Jennie Beach, MSW LICSW's National Provider Identifier is 1396707030, issued on Apr 6, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minnetonka, MN. The record was last updated on May 9, 2025.