Amy P Jacobsen, MA Valid NPI

Individual provider · Counselor · Shelton, WA

NPI

1740409309

Type

Individual (Type 1)

Primary specialty

Counselor

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101Y00000X

License number

CGC60181519 (WA)

Sex

Female

Sole proprietor

No

Enumerated

2007-04-24

Last updated

2024-07-02