Individual
MR. CHRISTOPHER L JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
401 KNOLLWOOD DR, KANNAPOLIS, NC 28083-3633
(704) 754-6883
Mailing address
401 KNOLLWOOD DR, KANNAPOLIS, NC 28083-3633
(704) 754-6883
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006056
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194744573
PRIVATE PAY
NC
Enumeration date
07/18/2006
Last updated
04/07/2016
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