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Individual

JEANNE JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC, NCC

Contact information

Practice address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 235-4613
(855) 625-7406
Mailing address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 235-4613
(855) 625-7406

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01546
MN
101YP2500X
Professional Counselor
561101506
ND

Other

Enumeration date
11/07/2011
Last updated
07/21/2022
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