Individual
THOMAS JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
4500 PARK GLEN RD, #150, ST LOUIS PARK, MN 55416-4871
(612) 872-9446
Mailing address
4500 PARK GLEN RD, #150, ST LOUIS PARK, MN 55416-4871
(612) 872-9446
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0122
MN
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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