Kyle Adam Jacobsen, LCSW

NPI #1033655253 in White Sulphur Springs, Montana

Provider Information

NPI Number: 1033655253
Entity Type: Individual
Name: Kyle Adam Jacobsen, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 11, 2017
Last Updated: Mar 24, 2022

Practice Location

Address: 209 S CENTRAL AVE RM 304
City: White Sulphur Springs
State: Montana
ZIP Code: 59645-9086
Phone: (406) 640-3242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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Organizations

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