Individual provider · Type 1 NPI

Peter Jacobson

Mental Health Counselor · Tacoma, WA

NPI number 1114190246 Active

Practice location

610 Yakima Ave
Tacoma, WA 98405-4851

Mailing address

3715 E I St
Tacoma, WA 98404-3031

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114190246

Peter Jacobson's National Provider Identifier is 1114190246, issued on Apr 9, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tacoma, WA. The record was last updated on Apr 9, 2008.