MRS. Tara Elizabeth Jacobson, BS

NPI #1801865977 in Venice, Florida

Provider Information

NPI Number: 1801865977
Entity Type: Individual
Name: MRS. Tara Elizabeth Jacobson, BS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: BS
Enumeration Date: Mar 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2210 S TAMIAMI TRAIL
Address 2: #10
City: Venice
State: Florida
ZIP Code: 34293
Phone: (941) 497-7742

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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