Provider Demographics
NPI:1043576408
Name:FARBER, JANE MARGARET OSBORN (LPCC, LADC)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:MARGARET OSBORN
Last Name:FARBER
Suffix:
Gender:F
Credentials:LPCC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-1029
Mailing Address - Country:US
Mailing Address - Phone:612-594-2000
Mailing Address - Fax:612-594-2020
Practice Address - Street 1:510 S 8TH ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-1029
Practice Address - Country:US
Practice Address - Phone:612-594-2000
Practice Address - Fax:612-594-2020
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN302995101YA0400X
MN292101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)