Individual provider · Type 1 NPI

Andrea Jacobson, BS

Addiction (Substance Use Disorder) Counselor · Madison, WI

NPI number 1639398944 Active

Practice location

625 W Washington Ave
Madison, WI 53703-2637

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11524 (WI)
Clinical Social Worker 1041C0700X508 (WI)

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

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About NPI 1639398944

Andrea Jacobson, BS's National Provider Identifier is 1639398944, issued on Apr 25, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison, WI. The record was last updated on Sep 11, 2025.