Individual provider · Type 1 NPI

Matthew Elmo Jacobson

Addiction (Substance Use Disorder) Counselor · Moroni, UT

NPI number 1952672735 Active

Practice location

21360 N 1450 E
Moroni, UT 84646-0461

Call (435) 445-5200 Map

Fax (435) 445-5201

Mailing address

PO Box 461
Moroni, UT 84646-0461

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1952672735

Matthew Elmo Jacobson's National Provider Identifier is 1952672735, issued on Jan 25, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Moroni, UT. The record was last updated on Jan 25, 2012.