Organization
SPEHAR GUIDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB SPEHAR LPCC, LADC (MENTAL HEALTH COUNSELOR)
(651) 226-7906
Entity
Organization
Contact information
Practice address
155 LAKE ST S STE 102, FOREST LAKE, MN 55025-2604
(651) 461-1438
Mailing address
5824 213TH ST N, FOREST LAKE, MN 55025-9745
(651) 226-7906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
03/14/2024
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