Individual
ALISON JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12630 W NORTH AVE BLDG E, BROOKFIELD, WI 53005-4626
(262) 785-1008
(262) 432-9059
Mailing address
444 N WESTHILL BLVD, APPLETON, WI 54914-5715
(920) 750-7000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1931-226
WI
101YP2500X
Professional Counselor
Primary
1931-226
WI
Other
Enumeration date
07/27/2015
Last updated
09/05/2019
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