Provider Demographics
NPI:1598591513
Name:LAPLANT, JACQUELINE (PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:
Last Name:LAPLANT
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:DR
Other - First Name:JACQUELINE
Other - Middle Name:
Other - Last Name:BRAUGHTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, LMFT
Mailing Address - Street 1:7777 WASHINGTON AVE S STE 101
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2469
Mailing Address - Country:US
Mailing Address - Phone:612-464-1400
Mailing Address - Fax:
Practice Address - Street 1:7777 WASHINGTON AVE S STE 101
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2469
Practice Address - Country:US
Practice Address - Phone:612-464-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3994106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist