Organization
LIVE ANEW COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY JACOBS LPC (OWNER)
(612) 643-0892
Entity
Organization
Contact information
Practice address
2499 RICE ST, SUITE 103, ROSEVILLE, MN 55113-3724
(612) 643-0892
Mailing address
2499 RICE ST, SUITE 103, ROSEVILLE, MN 55113-3724
(612) 643-0892
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01734
MN
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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