Individual
MS. DEBRA ANN JACOBSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3191 S VALLEY STREET, STE 210, SALT LAKE CITY, UT 84109-4218
(801) 565-2040
(801) 583-5400
Mailing address
3191 S VALLEY STREET, STE 210, SALT LAKE CITY, UT 84109-4218
(801) 565-2040
(801) 583-5400
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1997843902
UT
Other
Enumeration date
05/01/2006
Last updated
07/08/2007
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