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Individual

CARLY JACOBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
4320 PALM FOREST DR S, DELRAY BEACH, FL 33445-5716
(561) 716-7146
Mailing address
4320 PALM FOREST DR S, DELRAY BEACH, FL 33445-5716

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10011
MA
101YM0800X
Mental Health Counselor

Other

Enumeration date
01/08/2021
Last updated
01/08/2021
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