Individual
JACOB AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2524 S WASHINGTON ST STE 5, GRAND FORKS, ND 58201-6764
(701) 520-7211
Mailing address
2524 S WASHINGTON ST STE 5, GRAND FORKS, ND 58201-6764
(701) 520-7211
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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