Individual
SCOTT JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4305 E TRENT AVE, SPOKANE, WA 99212-1315
(503) 718-8078
Mailing address
4305 E TRENT AVE, SPOKANE, WA 99212-1315
(509) 795-3133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61315560
WA
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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