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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACIA JACOBSON-GRAY, LPCC

Active

STACIA JACOBSON-GRAY, LPCC is a Professional Counselor healthcare provider located in MINNETONKA, Minnesota. NPI 1457658981 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · MINNETONKA, MN

Registration Details

NPI Number
1457658981
Provider Type
Individual
Gender
Female
NPI Issued
Feb 18, 2011 (15.299071442137 yrs)
Last Updated
May 16, 2016
License
CC01218 (MN)

Practice Information

Address
3395 PLYMOUTH RD
MINNETONKA, MN, 553053765
Browse MN providers · Browse ZIP 55305
Phone
9529390396
Fax
9525488760
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in MINNETONKA, MN

Name Credential NPI
DAPHNE LYNN DEMARIS MA 1477646586
MRS. MAUREEN CAROL VOGT M.A., LPC 1801050505
ELIZABETH MCFADDEN M.A., LPC 1427214600
DR. JESSE LEAF MAISTROVICH PSYD 1972755114
MRS. JANE LEE ALLEN PHD LP 1750693263
MARY MAUREEN MORUD MA, LPCC 1568748812
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.