Doctor Name: | MRS. LOUISE A. JACOBSON |
NPI Number: | 1164592747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC |
License Number: | 27648 |
Business Practice Address: | 4868 Marco Polo St North Las Vegas, NV - 890310267 |
Business Phone Number: | 7025263455 |
Business Fax Number: | 7025861114 |
Mailing Address: | 4868 Marco Polo St, NORTH LAS VEGAS |
State: | NV |
Postal Code: | 890310267 |
Phone Number: | 7025263455 |
Fax Number: | 7025861114 |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 07/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 27648 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |