Individual provider · Type 1 NPI

Larry Kay Jacobson, LPC NCC

Counselor · Ogden, UT

NPI number 1124127766 Active

Practice location

3500 Harrison Blvd, Suite 105
Ogden, UT 84403-2058

Mailing address

440 East 3050 North
North Ogden, UT 84414-1936

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X1221526004 (UT)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124127766

Larry Kay Jacobson, LPC NCC's National Provider Identifier is 1124127766, issued on Sep 21, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ogden, UT. The record was last updated on Jul 8, 2007.