Individual provider · Type 1 NPI

Eileen Jacobson, CP00003047

Addiction (Substance Use Disorder) Counselor · Spokane Valley, WA

NPI number 1972039873 Active

Practice location

15407 E Mission Ave Ste 100
Spokane Valley, WA 99037-8527

Fax (509) 927-4761

Mailing address

PO Box 4627
Spokane, WA 99220-0627

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP00003047 (WA)

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

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About NPI 1972039873

Eileen Jacobson, CP00003047's National Provider Identifier is 1972039873, issued on May 11, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spokane Valley, WA. The record was last updated on May 11, 2017.