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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 1221526004 (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.