Individual
TERRILL ANASTACIA JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
3810 CENTRAL AVE, KEARNEY, NE 68847-8134
(308) 237-5951
(308) 237-5953
Mailing address
PO BOX 1716, KEARNEY, NE 68848-1716
(308) 237-5951
(308) 237-5953
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CPSS-033
NE
Other
Enumeration date
05/22/2020
Last updated
03/26/2024
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