Provider Demographics
NPI:1245713825
Name:DALEY, JESSEE ANN (MA, LPCC)
Entity type:Individual
Prefix:
First Name:JESSEE
Middle Name:ANN
Last Name:DALEY
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:JESSEE
Other - Middle Name:ANN DALEY
Other - Last Name:ALTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6109 KELLOGG AVE
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55424-1802
Mailing Address - Country:US
Mailing Address - Phone:952-454-6461
Mailing Address - Fax:
Practice Address - Street 1:6109 KELLOGG AVE
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55424-1802
Practice Address - Country:US
Practice Address - Phone:952-454-6461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2023-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional