person
Lavonne Jacobson, CSAC
Mental Health Counselor in Shawano, Wisconsin
NPI 1104017953

Lavonne Jacobson is a Mental Health Counselor based in Shawano, WI and is specialized in Mental Health. Lavonne Jacobson practices in Shawano, WI and has the professional credentials of CSAC. The NPI Number for Lavonne Jacobson is 1104017953 and holds a License No. (Wisconsin).

The current practice location address for Lavonne Jacobson is 504 Lakeland Rd, Shawano, WI and can be reached out via phone at 715-526-5547 and via fax at 715-526-5542.

Location: 504 Lakeland Rd, Shawano, WI, 54166-3836
person
Provider Profile Details
NPI Number
1104017953
Provider Name
Lavonne Jacobson
Credential
CSAC
Provider Entity Type
Individual
Gender
Female
Address
504 Lakeland Rd, Shawano, WI, 54166-3836
Phone Number
715-526-5547
Fax Number
715-526-5542
Provider Enumeration Date
08/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
504 Lakeland Rd
City
State
Zip
54166-3836
Phone Number
715-526-5547
Fax Number
715-526-5542
person
Provider Business Mailing Address Details
Address
504 Lakeland Rd
City
State
Zip
54166-3836
Phone Number
715-526-5547
Fax Number
715-526-5542
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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