Provider Demographics
NPI:1598158396
Name:CRITELLI, JESSY (LMFT)
Entity Type:Individual
Prefix:
First Name:JESSY
Middle Name:
Last Name:CRITELLI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JESSY
Other - Middle Name:
Other - Last Name:STEINMETZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1262 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:MN
Mailing Address - Zip Code:55362-8913
Mailing Address - Country:US
Mailing Address - Phone:763-732-3351
Mailing Address - Fax:763-322-5026
Practice Address - Street 1:1262 CEDAR ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:MN
Practice Address - Zip Code:55362-8913
Practice Address - Country:US
Practice Address - Phone:763-732-3351
Practice Address - Fax:763-322-5026
Is Sole Proprietor?:No
Enumeration Date:2015-03-18
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2894106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist