Organization
LINDA M JACOBUS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M JACOBUS LMFT LCPC (PRESIDENT)
(714) 404-2878
Entity
Organization
Contact information
Practice address
273 MAIN ST, YARMOUTH, ME 04096-6753
(714) 404-2878
Mailing address
24 EMU ST, FREEPORT, ME 04032-6037
(714) 404-2878
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MF3924
ME
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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