Provider Demographics
NPI:1831429620
Name:VOERDING, JESSICA MARIE (MA, LMFT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:MARIE
Last Name:VOERDING
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:MARIE
Other - Last Name:KATORSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:1101 E 78TH ST
Mailing Address - Street 2:SUITE 318
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-1400
Mailing Address - Country:US
Mailing Address - Phone:952-885-1268
Mailing Address - Fax:952-884-9684
Practice Address - Street 1:1101 E 78TH ST
Practice Address - Street 2:SUITE 318
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-1400
Practice Address - Country:US
Practice Address - Phone:952-885-1268
Practice Address - Fax:952-884-9684
Is Sole Proprietor?:No
Enumeration Date:2009-12-30
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2040106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist