Michael Jacob is a Counselor based in Edina, MN. Michael Jacob practices in Saint Cloud, MN. The NPI Number for Michael Jacob is 1336907575 and holds a License No. 4331 (Minnesota).
The current practice location address for Michael Jacob is 3400 1St St N Ste 101, Saint Cloud, MN and can be reached out via phone at 612-268-5858.
Location: 3400 1St St N Ste 101, Saint Cloud, MN, 55439-3062
Provider Profile Details
NPI Number
1336907575
Provider Name
Michael Jacob
Credential
Provider Entity Type
Individual
Gender
Male
Address
3400 1St St N Ste 101, Saint Cloud, MN, 55439-3062
Phone Number
612-268-5858
Fax Number
Provider Enumeration Date
03/12/2024
Last Update Date
04/14/2024
Provider Business Practice Location Address Details
Address
3400 1St St N Ste 101
City
State
Zip
56303-1924
Phone Number
612-268-5858
Fax Number
Provider Business Mailing Address Details
Address
3400 1St St N Ste 101
City
State
Zip
56303-1924
Phone Number
612-268-5858
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
4331 (Minnesota)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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