Individual provider · Type 1 NPI

Layne Russell Jacobson, MA, LPC, LAC

Mental Health Counselor · Lakewood, CO

NPI number 1477847457 Active

Practice location

9485 W Colfax Ave
Lakewood, CO 80215-3918

Fax (303) 432-5071

Mailing address

4851 Independence St, Suite 200
Wheat Ridge, CO 80033-6715

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X5968 (CO)
Mental Health Counselor Primary 101YM0800X0005968 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1477847457

Layne Russell Jacobson, MA, LPC, LAC's National Provider Identifier is 1477847457, issued on Jun 7, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, CO. The record was last updated on May 19, 2021.