Individual
AMANDA JO JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT-IT
Contact information
Practice address
8A W DAVENPORT ST, RHINELANDER, WI 54501-3467
(715) 490-5965
Mailing address
4694 BAYVIEW DR, RHINELANDER, WI 54501-7616
(715) 490-5965
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1077-228
WI
Other
Enumeration date
01/16/2024
Last updated
01/18/2024
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