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Individual
KAREN DEANE JACOBSEN
Active
Individual
KAREN DEANE JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED COUNSELOR
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LH00007846
WA
101YM0800X
Mental Health Counselor
LH00007846
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053527390
SBIRT
WA
05
—
2038885
—
WA
01
—
LH00007846
STATE LICENSE
WA
Enumeration date
05/15/2007
Last updated
05/14/2020
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