Individual
THERESE JACOBS-STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
2046 SAINT CLAIR AVE, SAINT PAUL, MN 55105-1650
(651) 225-1443
Mailing address
2046 SAINT CLAIR AVE, SAINT PAUL, MN 55105-1650
(651) 225-1443
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP0906
MN
Other
Enumeration date
05/14/2007
Last updated
11/30/2011
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