| Jacqueline Ruth Smalley, LPCC, LADC | |
|
15489 45th St S, Afton, MN 55001-9681 | |
| (612) 888-3433 | |
| Not Available |
| Full Name | Jacqueline Ruth Smalley |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 15489 45th St S, Afton, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124632468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CC02558 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Ruth Smalley, LPCC, LADC 985 Seminary Ave, Saint Paul, MN 55104-1526 Ph: (651) 485-8845 | Jacqueline Ruth Smalley, LPCC, LADC 15489 45th St S, Afton, MN 55001-9681 Ph: (612) 888-3433 |
News Archive
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› Verified 8 days ago
Kelly Kennedy-johnson, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15489 45th St S, Afton, MN 55001 Phone: 612-367-6046 |