Organization
BEHAVIORAL HEALTH INTEGRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB THOMAS MINNIG MA, LADC (OWNER/LADC)
(651) 233-8379
Entity
Organization
Contact information
Practice address
1471 HIGHVIEW AVE, EAGAN, MN 55121-1143
(651) 233-8379
Mailing address
1471 HIGHVIEW AVE, EAGAN, MN 55121-1143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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