Alexis Nicole Jacobson, | |
723 3rd Ave, Two Harbors, MN 55616-1519 | |
(218) 220-7845 | |
Not Available |
Full Name | Alexis Nicole Jacobson |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 723 3rd Ave, Two Harbors, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083372106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 30219 (Minnesota) | Primary |
Entity Name | Two Rivers Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093486722 PECOS PAC ID: 7416322268 Enrollment ID: O20230407001195 |
Mailing Address | Practice Location Address |
---|---|
Alexis Nicole Jacobson, 723 3rd Ave, Two Harbors, MN 55616-1519 Ph: (218) 220-7845 | Alexis Nicole Jacobson, 723 3rd Ave, Two Harbors, MN 55616-1519 Ph: (218) 220-7845 |
Ms. Ashley Lynn Kalina, LMHC, LMFT, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 120 7th St Ste 101, Two Harbors, MN 55616 Phone: 813-445-6078 Fax: 813-636-8855 | |
Faith Clark, MSW, LICSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 7th St, Two Harbors, MN 55616 Phone: 218-830-8085 | |
Ms. Victoria Ruth Morrison, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 South Ave, Suite 1, Two Harbors, MN 55616 Phone: 218-834-6090 Fax: 218-834-6091 |