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Individual

MS. LINDA MARGARET JACOBUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
273 MAIN ST, YARMOUTH, ME 04096-6753
(207) 846-0404
Mailing address
24 EMU ST, FREEPORT, ME 04032-6037
(714) 404-2878

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
9
CA
106H00000X
Marriage & Family Therapist
MF3924
ME
106H00000X
Marriage & Family Therapist
Primary
MFC 43982
CA

Other

Enumeration date
09/11/2007
Last updated
10/24/2012
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