Individual
REILLY JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
640 3 MILE RD NW STE G, GRAND RAPIDS, MI 49544-8209
(616) 369-8433
Mailing address
158 WESTOWN DR NW APT 303, GRAND RAPIDS, MI 49534-3719
(515) 468-1496
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361008233
MI
103T00000X
Psychologist
6362009732
MI
Other
Enumeration date
07/28/2023
Last updated
03/30/2026
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