Individual
MICHAELA AVERY JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W MAIN ST STE 200, BLUE SPRINGS, MO 64015-3743
(913) 626-6030
Mailing address
411 E 108TH TER, KANSAS CITY, MO 64131-4017
(913) 626-6030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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