Individual provider · Type 1 NPI
Susan Charlotte Jacobsen, LMHC
Mental Health Counselor · Wakefield, RI
NPI number
1013058320
Active
Practice location
64 Indian Run Trl
Wakefield, RI 02879-1908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MHC00294 (RI) |
Mental Health Counselor: Definition to come...
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About NPI 1013058320
Susan Charlotte Jacobsen, LMHC's National Provider Identifier is 1013058320, issued on Feb 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wakefield, RI. The record was last updated on Jul 8, 2007.