Individual
MRS. SUSAN HALPERN JACOBSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN LMHC CASAC
Contact information
Practice address
333 E SHORE RD, STE 206, MANHASSET, NY 11030
(516) 626-3016
(516) 621-5234
Mailing address
66 FINCH DR, ROSLYN, NY 11576
(516) 626-3016
(516) 621-5234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13220
NY
101YM0800X
Mental Health Counselor
0003191
NY
163W00000X
Registered Nurse
3569171
NY
Other
Enumeration date
05/19/2006
Last updated
09/11/2025
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