Individual provider · Type 1 NPI

Jennifer Lynn Urbach, MA, LPCC

Professional Counselor · Blaine, MN

NPI number 1417464033 Active

Practice location

4255 Pheasant Ridge Dr NE Ste 412
Blaine, MN 55449-5066

Fax (763) 703-3725

Mailing address

73 E Golden Lake Rd
Circle Pines, MN 55014-1702

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1702 (MN)

Professional Counselor: Definition to come...

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About NPI 1417464033

Jennifer Lynn Urbach, MA, LPCC's National Provider Identifier is 1417464033, issued on Jan 4, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Blaine, MN. The record was last updated on Apr 22, 2022.