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Search › Minnesota › 175T00000X

Jacob Smith, CPRS

NPI 1679381693 · on the registry since 2024

Practice

Address
1826 Commerce Dr
North Mankato, MN 56003
Phone
(507) 229-0350
Fax
(507) 216-0371
Organisation at this address
Mankato Chemical Health, Llc
Northern Lights Psychiatric Services, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota