Individual provider · Type 1 NPI
Jacob Nicholaus Maruska, LPCC
Professional Counselor · Brooklyn Center, MN
NPI number
1124713037
Active
Practice location
5637 Brooklyn Blvd
Brooklyn Center, MN 55429-3061
Fax (763) 951-2132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3957 (MN) |
Professional Counselor: Definition to come...
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Other professional counselor providers in Brooklyn Center
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About NPI 1124713037
Jacob Nicholaus Maruska, LPCC's National Provider Identifier is 1124713037, issued on Apr 6, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brooklyn Center, MN. The record was last updated on Apr 6, 2023.