Individual
LISA MARIE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
119 ALLISON CIR, CARROLLTON, GA 30117-4325
(770) 877-0246
Mailing address
119 ALLISON CIR, CARROLLTON, GA 30117-4325
(770) 877-0246
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008638
GA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/12/2015
Last updated
10/31/2024
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