Individual provider · Type 1 NPI

Jacob Charles Lusk, LPCC

Professional Counselor · New Brighton, MN

NPI number 1235958646 Active

Practice location

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Call (218) 839-3572 Map

Mailing address

2323 Victoria St N
Roseville, MN 55113-4444

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1235958646

Jacob Charles Lusk, LPCC's National Provider Identifier is 1235958646, issued on Oct 3, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New Brighton, MN. The record was last updated on Oct 3, 2024.