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Individual
SUSAN E JACOBS
Active
Individual
SUSAN E JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CAC II, MA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB.0007774
CO
101YP2500X
Professional Counselor
Primary
LPC.0006086
CO
Other
Enumeration date
09/19/2013
Last updated
07/21/2022
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