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Individual

MRS. LARA MEGAN JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLPC

Contact information

Practice address
1441 S WESTNEDGE AVE, KALAMAZOO, MI 49008-1370
(269) 381-9800
(269) 381-2932
Mailing address
1819 GULL RD, KALAMAZOO, MI 49048-1611
(269) 381-9800
(269) 381-2932

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
10/20/2020
Last updated
10/20/2020
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