Individual
LEAH RENATE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD DONA
Contact information
Practice address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(877) 418-2978
(866) 500-2186
Mailing address
225 DECATUR DR, SUMMERVILLE, SC 29486-5345
(208) 960-3557
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
374J00000X
Doula
—
—
Other
Enumeration date
02/05/2024
Last updated
12/27/2024
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