Individual
JONA JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1070 HILINE RD STE 210, POCATELLO, ID 83201-2947
(208) 478-9081
(208) 478-4999
Mailing address
2420 E 25TH ST, IDAHO FALLS, ID 83404-7549
(208) 542-1026
(208) 528-2945
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW35751
ID
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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