Organization
CENTER FOR MIND HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARA JANINE JAKOBSONS PHD (OWNER/CO-FOUNDER)
(847) 250-9959
Entity
Organization
Contact information
Practice address
636 CHURCH ST STE 405, EVANSTON, IL 60201-4580
(847) 250-9959
Mailing address
636 CHURCH ST STE 405, EVANSTON, IL 60201-4580
(847) 250-9959
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/25/2020
Last updated
06/02/2025
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