Organization
LISA JACOBSON LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M JACOBSON LCSW (COUNSELOR)
(307) 680-4154
Entity
Organization
Contact information
Practice address
2529 S KELLY AVE STE C, EDMOND, OK 73013-2976
(405) 467-0894
(405) 562-1975
Mailing address
2225 FLINT RIDGE RD, EDMOND, OK 73003-2481
(307) 680-4154
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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