Individual
MARIANN SUE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 S. 3RD STREET, SHELTON, WA 98584
(360) 426-0890
Mailing address
1324 SUMMIT DR, SHELTON, WA 98584-3243
(360) 660-5525
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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