Individual
DR. KRISTIN E. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., L.P.
Contact information
Practice address
2450 RIVERSIDE AVE STE F140, MINNEAPOLIS, MN 55454-1450
(612) 672-6999
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-9035
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5943
MN
103TC0700X
Clinical Psychologist
LP5943
MN
Other
Enumeration date
12/22/2015
Last updated
02/15/2023
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