person
Kristie Catalina Jacobson, CDPT
Addiction (Substance Use Disorder) Counselor in Forks, Washington
NPI 1861658544

Kristie Catalina Jacobson is an Addiction (Substance Use Disorder) Counselor based in Forks, WA and is specialized in Addiction (Substance Use Disorder). Kristie Catalina Jacobson practices in Forks, WA and has the professional credentials of CDPT. The NPI Number for Kristie Catalina Jacobson is 1861658544 and holds a License No. RC00059629 (Washington).

The current practice location address for Kristie Catalina Jacobson is 530 Bogachiel Way, Forks, WA and can be reached out via phone at 360-374-5011 and via fax at 360-374-6691.

Location: 530 Bogachiel Way, Forks, WA, 98331-9120
person
Provider Profile Details
NPI Number
1861658544
Provider Name
Kristie Catalina Jacobson
Credential
CDPT
Provider Entity Type
Individual
Gender
Female
Address
530 Bogachiel Way, Forks, WA, 98331-9120
Phone Number
360-374-5011
Fax Number
360-374-6691
Provider Enumeration Date
08/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
530 Bogachiel Way
City
State
Zip
98331-9120
Phone Number
360-374-5011
Fax Number
360-374-6691
person
Provider Business Mailing Address Details
Address
530 Bogachiel Way
City
State
Zip
98331-9120
Phone Number
360-374-5011
Fax Number
360-374-6691
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
RC00059629 (Washington)
Definition
Definition to come...
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