Individual
MR. JACOB DANIEL COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPCC, LMFT
Contact information
Practice address
2019 GALISTEO ST, SUITE M-2, SANTA FE, NM 87505-2143
(505) 984-8431
Mailing address
2019 GALISTEO ST, SUITE M-2, SANTA FE, NM 87505-2143
(505) 984-8431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCC 1796
NM
106H00000X
Marriage & Family Therapist
Primary
LMFT 1795
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04724
CIGNA
NM
01
—
1007163
LOVELACE
NM
Enumeration date
11/24/2006
Last updated
09/11/2025
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