Individual
EILEEN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP00003047
Contact information
Practice address
15407 E MISSION AVE STE 100, SPOKANE VALLEY, WA 99037-8527
(509) 927-1543
(509) 927-4761
Mailing address
PO BOX 4627, SPOKANE, WA 99220-0627
(509) 927-1543
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00003047
WA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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