| Sue Jacobson, LAC | |
|
6221 Richards Dr, Shawnee, KS 66216-1724 | |
| (913) 248-1943 | |
| (913) 248-1994 |
| Full Name | Sue Jacobson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6221 Richards Dr, Shawnee, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164836581 | NPI | - | NPPES |
| 100106710 I | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 260 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sue Jacobson, LAC 130 E 5th St, Po Box 711, Newton, KS 67114-2206 Ph: (316) 283-6743 | Sue Jacobson, LAC 6221 Richards Dr, Shawnee, KS 66216-1724 Ph: (913) 248-1943 |
Jennifer Melby, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-826-4200 | |
Douglas Johnson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6221 Richards Dr, Shawnee, KS 66216 Phone: 913-248-1943 Fax: 913-248-1994 | |
Kevin Ryan Kufeldt, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-826-4200 | |
Alexandria Wagner, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6440 Nieman Rd, Shawnee, KS 66203 Phone: 913-826-4200 | |
Andrew Funk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11120 W 65th St, Shawnee, KS 66203 Phone: 913-826-4100 | |
Kristy Mccollum-wachter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11120 W 65th St, Shawnee, KS 66203 Phone: 913-826-4200 |