Individual provider · Type 1 NPI
Brae Davene Jacobson, LPC
Mental Health Counselor · San Antonio, TX
NPI number
1730891763
Active
Practice location
10114 Sunflower Ln
San Antonio, TX 78213-1924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 10319 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1730891763
Brae Davene Jacobson, LPC's National Provider Identifier is 1730891763, issued on Dec 21, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Antonio, TX. The record was last updated on Dec 21, 2022.