Lavonne Jacobson, CSAC

NPI #1104017953 in Shawano, Wisconsin

Provider Information

NPI Number
1104017953
Entity Type
Individual
Name
Lavonne Jacobson, CSAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CSAC
Enumeration Date
Aug 7, 2007
Last Updated
Jan 15, 2014

Practice Location

Address
504 LAKELAND RD
ZIP Code
54166-3836
Phone
(715) 526-5547

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health

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