Individual provider · Type 1 NPI

Mary Jacobson, SW, SAC-IT

Addiction (Substance Use Disorder) Counselor · La Crosse, WI

NPI number 1912524976 Active

Practice location

300 4th St N
La Crosse, WI 54601-3228

Call (608) 784-4357 Map

Fax (608) 785-6122

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19001-130 (WI)

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

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About NPI 1912524976

Mary Jacobson, SW, SAC-IT's National Provider Identifier is 1912524976, issued on Jun 25, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in La Crosse, WI. The record was last updated on Jun 25, 2020.