| Jennifer L Jacoby Llc | |
|
935 Winslow Ave West Saint Paul MN 55118-1340 | |
| (612) 804-2276 | |
| Not Available |
| Full Name | Jennifer L Jacoby Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 935 Winslow Ave, West Saint Paul, Minnesota |
| Authorized Official Name and Position | Jennifer Louise Jacoby (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6128042276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Jacoby Llc 935 Winslow Ave West Saint Paul MN 55118-1340 Ph: (612) 804-2276 | Jennifer L Jacoby Llc 935 Winslow Ave West Saint Paul MN 55118-1340 Ph: (612) 804-2276 |
| NPI Number | 1790186286 |
|---|---|
| Provider Enumeration Date | 09/15/2014 |
| Last Update Date | 09/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790186286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1265 (Minnesota) | Primary |
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