Individual
SAMANTHA JACOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT ASSOCIATE
Contact information
Practice address
200 N CHELAN AVE, WENATCHEE, WA 98801-2105
(509) 888-4866
Mailing address
200 N CHELAN AVE, WENATCHEE, WA 98801-2105
(509) 888-4866
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
125804
IA
106H00000X
Marriage & Family Therapist
MFTA.MG.61671953
WA
Other
Enumeration date
02/10/2025
Last updated
05/15/2025
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