Individual
MRS. LISA M JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
525 LIBERTY LN, EDMOND, OK 73034-9046
(405) 726-8966
(405) 726-8967
Mailing address
525 LIBERTY LN, EDMOND, OK 73034-9046
(405) 726-8966
(405) 726-8967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
434
WY
1041C0700X
Clinical Social Worker
Primary
7594
OK
Other
Enumeration date
07/15/2006
Last updated
03/07/2022
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