Individual
REBECCA J JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5426 VEGAS DR, LAS VEGAS, NV 89108-2403
(702) 806-5268
Mailing address
1545 WIGWAM PKWY APT 736, HENDERSON, NV 89074-8272
(702) 682-0123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
M-10818
NV
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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