| Jolene Pundsack Ms Lpcc Pllc | |
|
324 Broadway St Ste 206 Alexandria MN 56308-1482 | |
| (320) 762-1762 | |
| (320) 762-1762 |
| Full Name | Jolene Pundsack Ms Lpcc Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 324 Broadway St Ste 206, Alexandria, Minnesota |
| Authorized Official Name and Position | Jolene Anna Pundsack (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 3203337901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jolene Pundsack Ms Lpcc Pllc 44980 County Road 35 Grey Eagle MN 56336 Ph: (320) 333-7901 | Jolene Pundsack Ms Lpcc Pllc 324 Broadway St Ste 206 Alexandria MN 56308-1482 Ph: (320) 762-1762 |
| NPI Number | 1417575572 |
|---|---|
| Provider Enumeration Date | 07/06/2020 |
| Last Update Date | 07/06/2020 |
| Certification Date | 07/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417575572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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