Organization
JACOBSON COMMUNITY MENTAL HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY L. JACOBSON PMHNP (CEO)
(818) 913-2075
Entity
Organization
Contact information
Practice address
11900 NE 1ST ST STE 300, BELLEVUE, WA 98005-3049
(818) 913-2075
Mailing address
14110 NE 21ST ST APT 1095, BELLEVUE, WA 98007-3719
(818) 913-2075
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
09/26/2024
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