Individual
DR. SUE L. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
16456 S FELLOWS ST, OLATHE, KS 66062-7862
(816) 820-9740
Mailing address
1011 KING STREET, OVERLAND PARK, KS 66210
(913) 642-3134
(913) 766-6037
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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