Individual provider · Type 1 NPI

Kristie Catalina Jacobson, CDPT

Addiction (Substance Use Disorder) Counselor · Forks, WA

NPI number 1861658544 Active

Practice location

530 Bogachiel Way
Forks, WA 98331-9120

Call (360) 374-5011 Map

Fax (360) 374-6691

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRC00059629 (WA)

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

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About NPI 1861658544

Kristie Catalina Jacobson, CDPT's National Provider Identifier is 1861658544, issued on Aug 1, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Forks, WA. The record was last updated on Aug 1, 2008.