Matthew Elmo Jacobson

NPI #1952672735 in Moroni, Utah

Provider Information

NPI Number
1952672735
Entity Type
Individual
Name
Matthew Elmo Jacobson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Jan 25, 2012
Last Updated
Jan 25, 2012

Practice Location

Address
21360 N 1450 E
City
Moroni
State
Utah
ZIP Code
84646-0461
Phone
(435) 445-5200

Specialties & Taxonomy Codes

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

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