Individual
TAWNI JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
1933 N 1120 W, PROVO, UT 84604-1044
(801) 683-6830
Mailing address
4918 E OAKWOOD DR, EAGLE MOUNTAIN, UT 84005-7211
(702) 807-0377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8896415-6009
UT
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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