Individual provider · Type 1 NPI

Susan E. Jacobs, LPC, CAC II, MA

Professional Counselor · Fort Collins, CO

NPI number 1124454319 Active

Practice location

525 W Oak St
Fort Collins, CO 80521-2612

Call (970) 494-4200 Map

Mailing address

125 Crestridge St
Fort Collins, CO 80525-3934

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XACB.0007774 (CO)
Professional Counselor Primary 101YP2500XLPC.0006086 (CO)

Professional Counselor: Definition to come...

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About NPI 1124454319

Susan E. Jacobs, LPC, CAC II, MA's National Provider Identifier is 1124454319, issued on Sep 19, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Collins, CO. The record was last updated on Jul 21, 2022.