Susan Jacobsen's National Provider Identifier (NPI) Details
Susan Jacobsen, ATR-BC, LPC
NPI: 1861095697
Enumeration Date: 2020-11-16
Last updated: 2020-11-16
Sole Proprietor: YES
Status: active
Postal Address: 951 DAFFODIL ST, FOUNTAIN, CO
Phone: 171-932-2463
Primary Practice Address: 427 E COLORADO AVE # 219, COLORADO SPRINGS, CO
Practice's phone: 719-322-4630