Individual
RYAN ANDREW JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1810 N 2ND ST, WAUSAU, WI 54403-3492
(715) 848-4884
(715) 845-5385
Mailing address
1810 N 2ND ST, WAUSAU, WI 54403-3492
(715) 848-4884
(715) 845-5385
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1094-124
WI
106H00000X
Marriage & Family Therapist
78952
CA
Other
Enumeration date
09/11/2008
Last updated
09/09/2016
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