Individual
MS. ERIN JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, A.T.R.
Contact information
Practice address
235 HARRISON ST, OAK PARK, IL 60304-1533
(708) 712-9255
Mailing address
1944 WESLEY AVE, 1, BERWYN, IL 60402-1857
(708) 712-9255
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-229
REGISTERED ART THERAPIST
IL
Enumeration date
07/28/2006
Last updated
02/25/2008
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