Michele Jacobson, CADC-I

NPI 1477943488 · on the registry since 2015

Practice

Address: 1490 Grimes St
Fallon, NV 89406
Phone: (775) 423-1412
Fax: (775) 423-4054
Organisation at this address: Churchill Council On Alcohol & Other Drugs
Churchill Council On Alcohol & Other Drugs
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 46

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: NV
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-01-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada