| Anne Jacobsen Llc | |
|
201 Church St Se Ste D Blacksburg VA 24060-4878 | |
| (540) 200-8399 | |
| Not Available |
| Full Name | Anne Jacobsen Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 201 Church St Se Ste D, Blacksburg, Virginia |
| Authorized Official Name and Position | Anne Jacobsen (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5402008399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anne Jacobsen Llc 1721 Sage Ln Blacksburg VA 24060-2051 Ph: (540) 449-7189 | Anne Jacobsen Llc 201 Church St Se Ste D Blacksburg VA 24060-4878 Ph: (540) 200-8399 |
| NPI Number | 1013798362 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013798362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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