MR. Jacob Charles Lusk, LPCC
NPI #1235958646 in New Brighton, Minnesota
Provider Information
- NPI Number
- 1235958646
- Entity Type
- Individual
- Name
- MR. Jacob Charles Lusk, LPCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPCC
- Enumeration Date
- Oct 3, 2024
- Last Updated
- Oct 3, 2024
Practice Location
- Address
- 1900 SILVER LAKE RD NW STE 110
- City
- New Brighton
- State
- Minnesota
- ZIP Code
- 55112-1789
- Phone
- (218) 839-3572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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