Individual provider · Type 1 NPI

Michael Jacob

Mental Health Counselor · St. Cloud, MN

NPI number 1336907575 Active

Practice location

3400 1st St N Ste 101
St. Cloud, MN 56303-1924

Call (612) 268-5858 Map

Mailing address

7401 Metro Blvd Ste 250
Edina, MN 55439-3062

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X4331 (MN)
Mental Health Counselor Primary 101YM0800X4331 (MN)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1336907575

Michael Jacob's National Provider Identifier is 1336907575, issued on Mar 12, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Cloud, MN. The record was last updated on Oct 3, 2024.