| Delle Jacobs, Limited | |
|
91 Snelling Ave N Suite 230 Saint Paul MN 55104-6753 | |
| (651) 642-9883 | |
| (651) 642-5909 |
| Full Name | Delle Jacobs, Limited |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 91 Snelling Ave N, Saint Paul, Minnesota |
| Authorized Official Name and Position | Delle Marian Jacobs (LICENSED SOCIAL WORKER) |
| Authorized Official Contact | 6516429883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delle Jacobs, Limited 91 Snelling Ave N Suite 230 Saint Paul MN 55104-6753 Ph: (651) 642-9883 | Delle Jacobs, Limited 91 Snelling Ave N Suite 230 Saint Paul MN 55104-6753 Ph: (651) 642-9883 |
| NPI Number | 1619153624 |
|---|---|
| Provider Enumeration Date | 01/21/2008 |
| Last Update Date | 02/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619153624 | NPI | - | NPPES |
| 298057600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1785 (Minnesota) | Primary |
| 106H00000X | Marriage & Family Therapist | 699 (Minnesota) | Secondary |
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