Individual provider · Type 1 NPI

Gary Matthew Jacoboski, LPC-IT

Professional Counselor · Madison, WI

NPI number 1588310080 Active

Practice location

1320 Mendota St Ste 120
Madison, WI 53714-1060

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5188-226 (WI)

Professional Counselor: Definition to come...

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About NPI 1588310080

Gary Matthew Jacoboski, LPC-IT's National Provider Identifier is 1588310080, issued on Feb 23, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, WI. The record was last updated on Feb 23, 2022.