MR. Larry Kay Jacobson, LPC NCC

NPI #1124127766 in Ogden, Utah

Provider Information

NPI Number: 1124127766
Entity Type: Individual
Name: MR. Larry Kay Jacobson, LPC NCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC NCC
Enumeration Date: Sep 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3500 HARRISON BLVD
Address 2: SUITE 105
City: Ogden
State: Utah
ZIP Code: 84403-2058
Phone: (801) 725-4422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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