Provider Demographics
NPI:1386719854
Name:GAREE, JENNA LEE (MA, LMFT)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:LEE
Last Name:GAREE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6493 SYCAMORE CT N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-6028
Mailing Address - Country:US
Mailing Address - Phone:763-229-8616
Mailing Address - Fax:
Practice Address - Street 1:6493 SYCAMORE CT N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-6028
Practice Address - Country:US
Practice Address - Phone:763-229-8616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1700106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN2184181OtherCOMPSYCH EAP
MN1386719854OtherBCBS
MN1386719854OtherHEALTH PARTNERS
MN1386719854Medicaid