Individual
MARY ABIGAIL JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA, NBC-HWC
Contact information
Practice address
9450 SW GEMINI DR # 58509, BEAVERTON, OR 97008-7105
(800) 516-0975
Mailing address
9450 SW GEMINI DR # 58509, BEAVERTON, OR 97008-7105
(800) 516-0975
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/25/2024
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