Individual provider · Type 1 NPI

Christina Jacobs, LMSW

Addiction (Substance Use Disorder) Counselor · Clarksdale, MS

NPI number 1104302835 Active

Practice location

1742 Cheryl St
Clarksdale, MS 38614-7218

Fax (662) 627-5240

Mailing address

PO Box 1046
Clarksdale, MS 38614-1046

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1104302835

Christina Jacobs, LMSW's National Provider Identifier is 1104302835, issued on Jul 16, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clarksdale, MS. The record was last updated on Jul 16, 2018.