Individual
JACOB NICHOLAUS MARUSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
5637 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-3061
(612) 232-1073
(763) 951-2132
Mailing address
5637 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-3061
(612) 232-1073
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3957
MN
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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