Provider Demographics
NPI:1871920405
Name:ARZAPALO, JACQUELINE KORUS (MA, LPCC)
Entity type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:KORUS
Last Name:ARZAPALO
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 HIGHWAY 7 STE 309
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55305-4737
Mailing Address - Country:US
Mailing Address - Phone:952-426-6600
Mailing Address - Fax:952-938-4708
Practice Address - Street 1:1001 HIGHWAY 7 STE 309
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55305-4737
Practice Address - Country:US
Practice Address - Phone:952-426-6600
Practice Address - Fax:952-938-4708
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC15155101YP2500X
MNCC00604101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional