Individual
MRS. LOUISE A. JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
4868 MARCO POLO ST, NORTH LAS VEGAS, NV 89031-0267
(702) 526-3455
(702) 586-1114
Mailing address
4868 MARCO POLO ST, NORTH LAS VEGAS, NV 89031-0267
(702) 526-3455
(702) 586-1114
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
27648
ND
Other
Enumeration date
11/09/2006
Last updated
07/16/2009
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