Provider Demographics
NPI:1568963452
Name:NESS, JENNA KRISTEN (MA LPCC)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:KRISTEN
Last Name:NESS
Suffix:
Gender:F
Credentials:MA LPCC
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:KRISTEN
Other - Last Name:FRANTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA LPCC
Mailing Address - Street 1:1160 SUNSET BAY
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-8505
Mailing Address - Country:US
Mailing Address - Phone:952-201-1065
Mailing Address - Fax:
Practice Address - Street 1:1160 SUNSET BAY
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-8505
Practice Address - Country:US
Practice Address - Phone:952-201-1065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00741101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health