Search › Michigan › 103T00000X
Mark Jacobson, M.A
NPI 1528480944 · on the registry since 2014 · sole proprietor
Practice
- Address
- 234 1/2 Washington Ave
Grand Haven, MI 49417 - Phone
- (616) 607-4476
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-21
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 Michigan