Jenessa Jacobsen, RECOVERY ASSISTANT

NPI #1104298447 in Russellville, Arkansas

Provider Information

NPI Number: 1104298447
Entity Type: Individual
Name: Jenessa Jacobsen, RECOVERY ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RECOVERY ASSISTANT
Enumeration Date: Oct 27, 2015
Last Updated: Dec 28, 2023

Practice Location

Address: 301 N SIDNEY AVE
City: Russellville
State: Arkansas
ZIP Code: 72801-4383
Phone: (479) 890-5494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Behavior Technician	106S00000X	Primary

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