Jacob Thomas Minnig, MA, LPCC, LADC | |
1471 Highview Ave, Eagan, MN 55121-1143 | |
(651) 233-8379 | |
Not Available |
Full Name | Jacob Thomas Minnig |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1471 Highview Ave, Eagan, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114660966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 04325 (Minnesota) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 305842 (Minnesota) | Secondary |
Entity Name | Twin Cities Recovery Gym & Wellness Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487227161 PECOS PAC ID: 3476999327 Enrollment ID: O20240313003168 |
Mailing Address | Practice Location Address |
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Jacob Thomas Minnig, MA, LPCC, LADC 1471 Highview Ave, Eagan, MN 55121-1143 Ph: () - | Jacob Thomas Minnig, MA, LPCC, LADC 1471 Highview Ave, Eagan, MN 55121-1143 Ph: (651) 233-8379 |
Dr. Kai Yuken Gunty, PHD, LMFT, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3459 Washington Dr Ste 102, Eagan, MN 55122 Phone: 952-913-1776 | |
Patricia Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Mrs. Katherine Anne Blesener, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4660 Slater Rd Ste 145, Eagan, MN 55122 Phone: 651-440-9159 Fax: 651-371-3139 | |
Taylor Paige Voeller, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2030 Rahn Way, Eagan, MN 55122 Phone: 651-529-1970 | |
Keo Sengsavang, Counselor Medicare: Medicare Enrolled Practice Location: 4361 Bear Path Trl, Eagan, MN 55122 Phone: 612-234-2397 | |
Scarlett Heather Oconnell, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-365-8228 Fax: 651-454-3492 | |
Mr. Timothy J. Ruden, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4640 Slater Rd Ste 120, Eagan, MN 55122 Phone: 651-882-5161 |