Individual
JAYNE ESTHER JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MM, MT-BC
Contact information
Practice address
141 S CENTER ST FL 3, CASPER, WY 82601-2537
(307) 315-8525
Mailing address
2900 RIDGECREST DR, CASPER, WY 82604-4620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
102X00000X
Poetry Therapist
—
—
225400000X
Rehabilitation Practitioner
—
—
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
03/06/2023
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