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Individual

DR. TERESA JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DBH, LPCC, NCC

Contact information

Practice address
124 HICKORY GROVE CT, GEORGETOWN, KY 40324-2177
(513) 206-3026
(513) 620-5642
Mailing address
120 MARKET PLACE CIR STE C-182, GEORGETOWN, KY 40324-7205
(513) 206-3026
(513) 620-5642

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
275437
KY
101YP2500X
Professional Counselor
E.1200234
OH

Other

Enumeration date
08/31/2016
Last updated
04/27/2025
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