Individual provider · Type 1 NPI

Austin Jacobsen

Mental Health Counselor · Mendota Heights, MN

NPI number 1558040105 Active

Practice location

1370 Mendota Heights Rd
Mendota Heights, MN 55120-1281

Mailing address

12301 Nicollet Ave Apt 2404
Burnsville, MN 55337-2930

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1558040105

Austin Jacobsen's National Provider Identifier is 1558040105, issued on Jul 12, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mendota Heights, MN. The record was last updated on Jul 12, 2023.