Individual
BROOKE JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
46-411 KAHUHIPA ST, KANEOHE, HI 96744-3510
(808) 330-0430
Mailing address
46-411 KAHUHIPA ST APT C, KANEOHE, HI 96744-3510
(808) 330-0430
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/01/2013
Last updated
04/04/2018
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