Individual
JAMIE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 FORDEM AVE, MADISON, WI 53704-4600
(608) 455-6070
Mailing address
1219 APPLETON RD, MENASHA, WI 54952-1501
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1110-228
WI
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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