| NPI | 1811703317 |
|---|---|
| Former Legal Business Name | ANDREW JACOBSON PSYCHOLOGY LLC |
| Entity Type | Organization |
| Authorized Contact | ANDREW JACOBSON Owner 612-964-2946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |