Organization
JACOBSON COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE MARIE JACOBSON LCSW (SOLE PROPRIETOR)
(660) 254-1812
Entity
Organization
Contact information
Practice address
106 W EDWARDS ST, MARYVILLE, MO 64468-2419
(660) 254-1812
Mailing address
106 W EDWARDS ST, MARYVILLE, MO 64468-2419
(660) 254-1812
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2003018187
MO
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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