Individual
TIM JACQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAMFT
Contact information
Practice address
8401 WAYZATA BLVD STE 150, GOLDEN VALLEY, MN 55426-1377
(763) 544-1006
Mailing address
404 PARK CIR, NORWOOD YOUNG AMERICA, MN 55368
(320) 808-3436
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4463
MN
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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