Individual
JAMIE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
566 7TH AVE FL 4, NEW YORK, NY 10018-1802
(212) 564-7631
Mailing address
866 LONGACRE AVE, VALLEY STREAM, NY 11581-3510
(516) 662-5683
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
06-P127638-01
NY
106H00000X
Marriage & Family Therapist
Primary
002649
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/07/2022
Last updated
12/15/2025
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