person
Sue Jacobson, LAC
Addiction (Substance Use Disorder) Counselor in Shawnee, Kansas
NPI 1164836581

Sue Jacobson is an Addiction (Substance Use Disorder) Counselor based in Newton, KS and is specialized in Addiction (Substance Use Disorder). Sue Jacobson practices in Shawnee, KS and has the professional credentials of LAC. The NPI Number for Sue Jacobson is 1164836581 and holds a License No. 260 (Kansas).

The current practice location address for Sue Jacobson is 6221 Richards Dr, Shawnee, KS and can be reached out via phone at 913-248-1943 and via fax at 913-248-1994.

Location: 6221 Richards Dr, Shawnee, KS, 67114-2206
person
Provider Profile Details
NPI Number
1164836581
Provider Name
Sue Jacobson
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
6221 Richards Dr, Shawnee, KS, 67114-2206
Phone Number
913-248-1943
Fax Number
913-248-1994
Provider Enumeration Date
06/13/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100106710 I 05 KS
institution
Provider Business Practice Location Address Details
Address
6221 Richards Dr
City
State
Zip
66216-1724
Phone Number
913-248-1943
Fax Number
913-248-1994
person
Provider Business Mailing Address Details
Address
6221 Richards Dr
City
State
Zip
66216-1724
Phone Number
913-248-1943
Fax Number
913-248-1994
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
260 (Kansas)
Definition
Definition to come...
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