person
Gary Matthew Jacoboski, LPC-IT
Professional Counselor in Madison, Wisconsin
NPI 1588310080

Gary Matthew Jacoboski is a Professional Counselor based in Madison, WI and is specialized in Professional. Gary Matthew Jacoboski practices in Madison, WI and has the professional credentials of LPC-IT. The NPI Number for Gary Matthew Jacoboski is 1588310080 and holds a License No. 5188-226 (Wisconsin).

The current practice location address for Gary Matthew Jacoboski is 1320 Mendota St Ste 120, Madison, WI and can be reached out via phone at 608-800-1251.

Location: 1320 Mendota St Ste 120, Madison, WI, 53714-1060
person
Provider Profile Details
NPI Number
1588310080
Provider Name
Gary Matthew Jacoboski
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Male
Address
1320 Mendota St Ste 120, Madison, WI, 53714-1060
Phone Number
608-800-1251
Fax Number
Provider Enumeration Date
02/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1320 Mendota St Ste 120
City
State
Zip
53714-1060
Phone Number
608-800-1251
Fax Number
person
Provider Business Mailing Address Details
Address
1320 Mendota St Ste 120
City
State
Zip
53714-1060
Phone Number
608-800-1251
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5188-226 (Wisconsin)
Definition
Definition to come...
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