Individual
JACOB CLAY O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9800 SHELARD PKWY STE 115, PLYMOUTH, MN 55441-6527
(763) 200-8900
Mailing address
6139 W ARCH AVE, BROWN DEER, WI 53223-3461
(346) 273-6396
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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