Jacob Michael Gerend

NPI #1972371821 in Lino Lakes, Minnesota

Provider Information

NPI Number: 1972371821
Entity Type: Individual
Name: Jacob Michael Gerend
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Dec 19, 2023
Last Updated: Dec 19, 2023

Practice Location

Address: 7525 VILLAGE DR STE 130
City: Lino Lakes
State: Minnesota
ZIP Code: 55014-1305
Phone: (612) 889-9707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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Organizations

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