Individual
JACOB THOMAS MINNIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC, LADC
Contact information
Practice address
1471 HIGHVIEW AVE, EAGAN, MN 55121-1143
(651) 233-8379
Mailing address
1471 HIGHVIEW AVE, EAGAN, MN 55121-1143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305842
MN
101YM0800X
Mental Health Counselor
04325
MN
101YP2500X
Professional Counselor
Primary
4325
MN
Other
Enumeration date
04/19/2022
Last updated
03/18/2026
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