Individual
TAYLOR JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3225 S WADSWORTH BLVD UNIT T, LAKEWOOD, CO 80227-5009
(303) 231-0090
Mailing address
2762 S HOOKER ST, DENVER, CO 80236-2508
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LPC.0014443
CO
Other
Enumeration date
01/06/2016
Last updated
03/21/2018
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