Individual
KRISTI LYNN JACOBSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
310 S 1ST AVE, SIOUX FALLS, SD 57104-6329
(605) 275-1326
Mailing address
310 S 1ST AVE, SIOUX FALLS, SD 57104-6329
(605) 275-1326
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12071526
SD
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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