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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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