JACOB ALDEN LEBSACK

MINNEAPOLIS, MN
NPI1770286544
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MN  6631031)
Enumeration Date2023-03-22
Last Update Date2023-03-22
Business Address
JACOB ALDEN LEBSACK
2637 27TH AVE S # 248
MINNEAPOLIS, MN 55406-1565
Phone number: 612-208-8382
Mailing Address
JACOB ALDEN LEBSACK
2637 27TH AVE S # 248
MINNEAPOLIS, MN 55406-1565
Phone number: