Individual
BRAE DAVENE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10114 SUNFLOWER LN, SAN ANTONIO, TX 78213-1924
(512) 540-1810
Mailing address
10114 SUNFLOWER LN, SAN ANTONIO, TX 78213-1924
(512) 540-1810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10319
TX
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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