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Katie Jacobson
Mental Health Counselor in Provo, Utah
NPI 1760856116

Katie Jacobson is a Mental Health Counselor based in Bountiful, UT and is specialized in Mental Health. Katie Jacobson practices in Provo, UT. The NPI Number for Katie Jacobson is 1760856116 and holds a License No. (Utah).

The current practice location address for Katie Jacobson is 836 N 1375 W, Provo, UT and can be reached out via phone at 801-375-2523.

Location: 836 N 1375 W, Provo, UT, 84010-7785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760856116
Provider Name
Katie Jacobson
Credential
Provider Entity Type
Individual
Gender
Female
Address
836 N 1375 W, Provo, UT, 84010-7785
Phone Number
801-375-2523
Fax Number
Provider Enumeration Date
11/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
836 N 1375 W
City
Provo
State
Utah
Zip
84604-3049
Phone Number
801-375-2523
Fax Number
person
Provider Business Mailing Address Details
Address
836 N 1375 W
City
Provo
State
Utah
Zip
84604-3049
Phone Number
801-375-2523
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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