Individual provider · Type 1 NPI

Jessica Knicely, LPCC

Mental Health Counselor · St. Cloud, MN

NPI number 1619688173 Active

Practice location

4801 Veterans Dr
St. Cloud, MN 56303-2015

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3626 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1619688173

Jessica Knicely, LPCC's National Provider Identifier is 1619688173, issued on Dec 6, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Cloud, MN. The record was last updated on Dec 6, 2022.