Organization
LOUISE JACOBS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUISE JACOBS LCSW (PRESIDENT)
(402) 463-9355
Entity
Organization
Contact information
Practice address
440 N MINNESOTA AVE, HASTINGS, NE 68901-5254
(402) 463-9355
(402) 463-9354
Mailing address
PO BOX 174, HASTINGS, NE 68902-0174
(402) 463-9355
(402) 463-9354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
947
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025358700
—
NE
Enumeration date
09/27/2006
Last updated
08/22/2020
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