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Individual

EMILY JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, MSW, LICSW, LCSW

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
099344
NY
101YM0800X
Mental Health Counselor
2474
NH
101YM0800X
Mental Health Counselor
LC20011
ME
1041C0700X
Clinical Social Worker
123950
MA
1041C0700X
Clinical Social Worker
2474
NH
1041C0700X
Clinical Social Worker
Primary
LC20011
ME
1041C0700X
Clinical Social Worker
ME

Other

Enumeration date
12/01/2016
Last updated
08/18/2025
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