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Individual

MRS. TARA ELIZABETH JACOBSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
2210 S TAMIAMI TRAIL, #10, VENICE, FL 34293
(941) 497-7742
(941) 497-7683
Mailing address
2210 S TAMIAMI TRAIL, #10, VENICE, FL 34293
(941) 497-7742
(941) 497-7683

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
03/14/2006
Last updated
07/08/2007
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