Colleen Dawn Jacobs PLADC

NPI 1154511525 - Counselor - 101YA0400X

NPI Details
NPI 1154511525
Gender Female
Enumeration Date 07/31/2007
Last Updated 07/31/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4110 AVENUE D
SCOTTSBLUFF NE, 69361-4650, US
Phone (308) 635-3171
Fax (308) 635-7026
Business Location
4110 AVENUE D
SCOTTSBLUFF NE, 69361-4650, US
Phone (308) 635-3171
Fax (308) 635-7026
Toxanomy
Taxonomy Code 101YA0400X
License State Nebraska
License Number P-545
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According to our database, Colleen Dawn Jacobs PLADC NPI is 1154511525, taxonomy code is 101YA0400X and license number is P-545, license state is located at Nebraska. Colleen Dawn Jacobs PLADC physically located at 4110 Avenue D, Scottsbluff NE, 69361-4650. NPI Number Colleen Dawn Jacobs PLADC has the Individual type.

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1154511525 NPI number is provided on an as is basis without warranty of any kind. 1154511525 is maintained by the National Plan & Provider Enumeration System. The contents of Colleen Dawn Jacobs PLADC are for informational purposes only.