| NPI | 1124500855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA MARIE JORGENSON Psychotherapist 507-208-3504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 01625) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2024-11-12 |