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Individual

MR. JACOB ROSS TJERNLUND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
1619 DAYTON AVE STE 309, SAINT PAUL, MN 55104-6276
(612) 746-2975
Mailing address
983 CARLTON DR, SHOREVIEW, MN 55126-8130
(651) 295-1223

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4496
MN

Other

Enumeration date
11/08/2024
Last updated
11/08/2024
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