Individual
AARON J JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3303 E BASELINE RD STE 109, GILBERT, AZ 85234-2739
(480) 462-8168
Mailing address
3303 E BASELINE RD STE 109, GILBERT, AZ 85234-2739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-17523
AZ
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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