Provider Demographics
NPI:1699360966
Name:YAHNKE-DEL ANGEL, JENNIFER R (LPCC, LADC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:R
Last Name:YAHNKE-DEL ANGEL
Suffix:
Gender:F
Credentials:LPCC, LADC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:BEEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-3822
Mailing Address - Country:US
Mailing Address - Phone:507-453-9563
Mailing Address - Fax:507-453-9562
Practice Address - Street 1:601 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-3822
Practice Address - Country:US
Practice Address - Phone:507-453-9563
Practice Address - Fax:507-452-9562
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN02772101YP2500X
MN305957101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)