Individual
DARCIE GILBERTSON JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
MADISON EAST CENTER, STE 352 MANKATO CLINIC DEPARTMENT OF PSYCHIATRY, MANKATO, MN 56001
(507) 387-3195
Mailing address
PO BOX 8674, MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 4433
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172226
U CARE
MN
01
—
1965894
AMERICAS PPO
MN
01
—
389R0JA
BC BS
MN
05
—
397107400
—
MN
01
—
410849339 56001 I002
CHAMPUS
—
01
—
680016226
RR MEDICARE
—
01
—
HP40890
HEALTH PARTNERS
MN
01
—
NA2951033092
PREFERRED ONE
MN
Enumeration date
01/13/2006
Last updated
07/10/2020
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