IndividualActive
Christine Anderson Jacob, PH.D, LP
NPI 1184828204 · Counseling Psychologist · Minneapolis, MN
Provider details
- NPI number
- 1184828204
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D, LP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4727 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2124 Dupont Ave S Ste 300
Minneapolis, MN 55405-2735
Phone: (612) 879-1010
Fax: (612) 879-0059
Approximate (ZIP-level) locationGet directions
Mailing address
1492 Arden Pl
Arden Hills, MN 55112-3626
Registry dates
- Enumerated
- 2007-06-13
- Last updated
- 2015-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.