Individual provider · Type 1 NPI

Jessica Effertz

Counselor · Blaine, MN

NPI number 1750258364 Active

Practice location

12840 Fillmore St NE
Blaine, MN 55434-4049

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X1992903991 (MN)
Counselor Primary 101Y00000X1790017721 (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 1750258364

Jessica Effertz's National Provider Identifier is 1750258364, issued on Oct 20, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Blaine, MN. The record was last updated on Oct 20, 2025.