Individual provider · Type 1 NPI

Sue Jacobson, LAC

Addiction (Substance Use Disorder) Counselor · Shawnee, KS

NPI number 1164836581 Active

Practice location

6221 Richards Dr
Shawnee, KS 66216-1724

Call (913) 248-1943 Map

Fax (913) 248-1994

Mailing address

130 E 5th St, PO Box 711
Newton, KS 67114-2206

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X260 (KS)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1164836581

Sue Jacobson, LAC's National Provider Identifier is 1164836581, issued on Jun 13, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shawnee, KS. The record was last updated on Jun 13, 2014.