| Lisa Jacobson Lcsw Llc | |
|
2529 S Kelly Ave Ste C Edmond OK 73013-2976 | |
| (405) 467-0894 | |
| (405) 562-1975 |
| Full Name | Lisa Jacobson Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2529 S Kelly Ave Ste C, Edmond, Oklahoma |
| Authorized Official Name and Position | Lisa M Jacobson (COUNSELOR) |
| Authorized Official Contact | 3076804154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Jacobson Lcsw Llc 2225 Flint Ridge Rd Edmond OK 73003-2481 Ph: (307) 680-4154 | Lisa Jacobson Lcsw Llc 2529 S Kelly Ave Ste C Edmond OK 73013-2976 Ph: (405) 467-0894 |
| NPI Number | 1952181992 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952181992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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