Doctor Name: | MRS. JENNIFER LYNN WESTRUM |
NPI Number: | 1124111745 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | LPC00107 |
Business Practice Address: | 640 Atlantic Avenue Benson, MN - 56215 |
Business Phone Number: | 3208433454 |
Business Fax Number: | 3208434692 |
Mailing Address: | 704 17th St. South, BENSON |
State: | MN |
Postal Code: | 56215 |
Phone Number: | 3208434356 |
Fax Number: | 3208434692 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC00107 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |