Provider Demographics
NPI:1326736380
Name:SAUNDERS, JESSICA (MA, LMFT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:JESSI
Other - Middle Name:
Other - Last Name:BALTZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1370 MENDOTA HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:MENDOTA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55120-1281
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4820 W 77TH ST STE 130
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4832
Practice Address - Country:US
Practice Address - Phone:612-465-9809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-27
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist