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Individual

MARK JACOBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT, MCAP

Contact information

Practice address
3170 N FEDERAL HWY STE 206E, LIGHTHOUSE POINT, FL 33064-6720
(754) 444-1458
Mailing address
3170 N FEDERAL HWY STE 206E, LIGHTHOUSE POINT, FL 33064-6720
(754) 444-1458

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
106H00000X
Marriage & Family Therapist
MT2979
FL

Other

Enumeration date
07/21/2016
Last updated
07/21/2022
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