Individual
MS. JENNIFER CAROLINE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6 DELAFIELD WAY, BRONX, NY 10471-4800
(347) 843-1015
Mailing address
6 DELAFIELD WAY, BRONX, NY 10471-4800
(347) 843-1015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
121251-01
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
121251-01
NY
101YM0800X
Mental Health Counselor
121251-01
NY
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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