Kyle Adam Jacobsen, LCSW Valid NPI

Individual provider · Clinical Social Worker · White Sulphur Springs, MT

NPI

1033655253

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

Sex

Male

Sole proprietor

No

Enumerated

2017-01-11

Last updated

2022-03-24