Individual provider · Type 1 NPI

Emilie Ann Irene Jacobsen, ADCA

Addiction (Substance Use Disorder) Counselor · Bangor, ME

NPI number 1407685563 Active

Practice location

689 Odlin Rd
Bangor, ME 04401-6709

Call (207) 947-6800 Map

Fax (207) 947-6872

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAD8843 (ME)

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

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About NPI 1407685563

Emilie Ann Irene Jacobsen, ADCA's National Provider Identifier is 1407685563, issued on Jul 29, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bangor, ME. The record was last updated on Jul 29, 2024.