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Susan G Jacobs, LADC

NPI #1437385796 in Newport, Vermont

Provider Information

NPI Number
1437385796
Entity Type
Individual
Name
Susan G Jacobs, LADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC
Enumeration Date
Jun 1, 2009
Last Updated
Jun 1, 2009

Practice Location

Address
154 DUCHESS STREET
City
Newport
State
Vermont
ZIP Code
05855
Phone
(802) 334-7451

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)

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