person
Stacia Jacobson-gray, LPCC
Professional Counselor in Minnetonka, Minnesota
NPI 1457658981

Stacia Jacobson-gray is a Professional Counselor based in Minnetonka, MN and is specialized in Professional. Stacia Jacobson-gray practices in Minnetonka, MN and has the professional credentials of LPCC. The NPI Number for Stacia Jacobson-gray is 1457658981 and holds a License No. (Minnesota).

The current practice location address for Stacia Jacobson-gray is 3395 Plymouth Rd, Minnetonka, MN and can be reached out via phone at 952-939-0396 and via fax at 952-548-8760.

Location: 3395 Plymouth Rd, Minnetonka, MN, 55305-3765
person
Provider Profile Details
NPI Number
1457658981
Provider Name
Stacia Jacobson-gray
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
3395 Plymouth Rd, Minnetonka, MN, 55305-3765
Phone Number
952-939-0396
Fax Number
952-548-8760
Provider Enumeration Date
02/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3395 Plymouth Rd
City
State
Zip
55305-3765
Phone Number
952-939-0396
Fax Number
952-548-8760
person
Provider Business Mailing Address Details
Address
3395 Plymouth Rd
City
State
Zip
55305-3765
Phone Number
952-939-0396
Fax Number
952-548-8760
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CC01218 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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