Individual
ALLESSANDRA CORINE JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
1220 N MAIN ST STE 11, SPRINGVILLE, UT 84663-4016
(435) 660-0720
Mailing address
1220 N MAIN ST STE 11, SPRINGVILLE, UT 84663-4016
(435) 660-0720
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11159724-3904
UT
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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