Individual provider · Type 1 NPI

Stephanie Marion Jacobs, MA

Mental Health Counselor · Dixon, IL

NPI number 1760978985 Active

Practice location

325 Illinois Rt 2
Dixon, IL 61021-9118

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1760978985

Stephanie Marion Jacobs, MA's National Provider Identifier is 1760978985, issued on Jul 11, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dixon, IL. The record was last updated on Jul 11, 2018.