Organization
LAURA N JACOBS, LPC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESS THORNBERRY (CREDENTIAL)
(719) 638-8844
Entity
Organization
Contact information
Practice address
4445 NORTHPARK DR STE 202, COLORADO SPRINGS, CO 80907-4264
(719) 325-9293
Mailing address
4445 NORTHPARK DR STE 202, COLORADO SPRINGS, CO 80907-4264
(719) 325-9293
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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