Jacob Nicholaus Maruska, LPCC
NPI #1124713037 in Brooklyn Center, Minnesota
Provider Information
- NPI Number
- 1124713037
- Entity Type
- Individual
- Name
- Jacob Nicholaus Maruska, LPCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPCC
- Enumeration Date
- Apr 6, 2023
- Last Updated
- Apr 6, 2023
Practice Location
- Address
- 5637 BROOKLYN BLVD
- City
- Brooklyn Center
- State
- Minnesota
- ZIP Code
- 55429-3061
- Phone
- (612) 232-1073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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