Provider Demographics
NPI:1881140614
Name:RICE-VANDERPOEL, JESSICA LEA (MA, LPCC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LEA
Last Name:RICE-VANDERPOEL
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345-3038
Mailing Address - Country:US
Mailing Address - Phone:651-402-0701
Mailing Address - Fax:
Practice Address - Street 1:101 E BROADWAY
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-3038
Practice Address - Country:US
Practice Address - Phone:651-402-0701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health