Individual
DIANA CHRISTINE JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
322 S ELLICOTT HWY, CALHAN, CO 80808
(719) 683-2700
Mailing address
10698 RIDGEPOLE DR, COLORADO SPRINGS, CO 80925-1410
(914) 826-0343
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
CSW.09927048
CO
1041S0200X
School Social Worker
LSW.0009921458
CO
Other
Enumeration date
04/23/2019
Last updated
11/28/2020
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