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Individual

MR. CRAIG BRIAN JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AAC, CDPT

Contact information

Practice address
6100 SOUTHCENTER BLVD, SOUND MENTAL HEALTH, SUITE 200, TUKWILA, WA 98188-2441
(206) 444-7946
(206) 444-7810
Mailing address
1600 E OLIVE ST, SOUND MENTAL HEALTH, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60418176
WA
101YM0800X
Mental Health Counselor
CG60111492
WA

Other

Enumeration date
03/13/2009
Last updated
01/23/2017
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