institution
K.a. Jacobson, Ph.d., Pllc
Mental Health Clinic/Center (Including Community Mental Health Center) in Golden Valley, Minnesota
NPI 1154363414

K.a. Jacobson, Ph.d., Pllc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Golden Valley, MN and is specialized in Mental Health (Including Community Mental Health Center). K.a. Jacobson, Ph.d., Pllc practices in Golden Valley, MN. The NPI Number for K.a. Jacobson, Ph.d., Pllc is 1154363414 and holds a License No. LP0158 (Minnesota).

The current practice location address for K.a. Jacobson, Ph.d., Pllc is 5101 Olson Memorial Hwy, Golden Valley, MN and can be reached out via phone at 763-595-7294 and via fax at 763-595-7293. You can also correspond with K.a. Jacobson, Ph.d., Pllc through the mailing address at 5101 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN - 55422-5149 (mailing address contact number: 763-595-7294).

Location: 5101 Olson Memorial Hwy, Golden Valley, MN, 55422-5149
institution
Provider Profile Details
NPI Number
1154363414
Provider Name
K.a. Jacobson, Ph.d., Pllc
Credential
Provider Entity Type
Organization
Address
5101 Olson Memorial Hwy, Golden Valley, MN, 55422-5149
Phone Number
763-595-7294
Fax Number
763-595-7293
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5101 Olson Memorial Hwy
City
State
Zip
55422-5149
Phone Number
763-595-7294
Fax Number
763-595-7293
person
Provider Business Mailing Address Details
Address
5101 Olson Memorial Hwy
City
State
Zip
55422-5149
Phone Number
763-595-7294
Fax Number
763-595-7293
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
LP0158 (Minnesota)
Definition
Definition to come...
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