Individual
KAREN L. JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
821 SAGINAW ST S, SALEM, OR 97302-4121
(503) 589-4046
(503) 480-0484
Mailing address
821 SAGINAW ST S, SALEM, OR 97302-4121
(541) 224-6652
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6217
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194034892
—
OR
Enumeration date
09/28/2010
Last updated
06/17/2024
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