person
Jacob Louis Spehar, MA,LPCC,LADC
Addiction (Substance Use Disorder) Counselor in Forest Lake, Minnesota
NPI 1639672694

Jacob Louis Spehar is an Addiction (Substance Use Disorder) Counselor based in Forest Lake, MN and is specialized in Addiction (Substance Use Disorder). Jacob Louis Spehar practices in Forest Lake, MN and has the professional credentials of MA,LPCC,LADC. The NPI Number for Jacob Louis Spehar is 1639672694 and holds a License No. CC01722 (Minnesota).

The current practice location address for Jacob Louis Spehar is 155 Lake St S Ste 102, Forest Lake, MN and can be reached out via phone at 651-461-1438.

Location: 155 Lake St S Ste 102, Forest Lake, MN, 55025-9745
person
Provider Profile Details
NPI Number
1639672694
Provider Name
Jacob Louis Spehar
Credential
MA,LPCC,LADC
Provider Entity Type
Individual
Gender
Male
Address
155 Lake St S Ste 102, Forest Lake, MN, 55025-9745
Phone Number
651-461-1438
Fax Number
Provider Enumeration Date
03/15/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
155 Lake St S Ste 102
City
State
Zip
55025-2604
Phone Number
651-461-1438
Fax Number
person
Provider Business Mailing Address Details
Address
155 Lake St S Ste 102
City
State
Zip
55025-2604
Phone Number
651-461-1438
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
303864 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CC01722 (Minnesota)
Definition
Definition to come...
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