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Individual

JACOB R MOLL

Active
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Individual

JACOB R MOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
306771
MN
101YP2500X
Professional Counselor
Primary
4682
MN

Other

Enumeration date
01/14/2025
Last updated
01/14/2025
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