Individual
JAMIE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 FIR ST STE 327, LA GRANDE, OR 97850-2663
(541) 246-3638
Mailing address
105 FIR ST STE 327, LA GRANDE, OR 97850-2663
(541) 246-3638
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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