Individual
AMY JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1250 E 9TH ST, DES MOINES, IA 50316-2316
(515) 263-2632
Mailing address
3100 E AVE NW STE 103, CEDAR RAPIDS, IA 52405-2962
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
05/09/2023
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