Individual provider · Type 1 NPI

Tracey Elizabeth Riordan Jacobson, LPC

Professional Counselor · Branford, CT

NPI number 1295966612 Active

Practice location

6 Business Park Dr, Suite 203A
Branford, CT 06405-2988

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X001790 (CT)

Professional Counselor: Definition to come...

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About NPI 1295966612

Tracey Elizabeth Riordan Jacobson, LPC's National Provider Identifier is 1295966612, issued on Aug 3, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Branford, CT. The record was last updated on Aug 3, 2009.