Organization
AMERICAN BEHAVIORAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JAMIA JACOBSEN PHD, PSY,D (PRESIDENT)
(317) 282-3088
Entity
Organization
Contact information
Practice address
1515 N POST RD STE A, INDIANAPOLIS, IN 46219-4213
(317) 282-3088
(317) 295-2555
Mailing address
1515 N POST RD STE A, INDIANAPOLIS, IN 46219-4213
(317) 282-3088
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000971A
IN
1041C0700X
Clinical Social Worker
34002287A
IN
Other
Enumeration date
10/04/2016
Last updated
05/31/2024
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