Lara Megan Jacobs, LLPC
Counselor, Professional in Kalamazoo, MI. Individual provider (NPI-1).
NPI number1164021325
StatusActive
Last updated in NPPESOct 20, 2020
Details
- NPI
- 1164021325
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lara Megan Jacobs
- Credential
- LLPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2020
- Certification date
- Oct 20, 2020
- Last updated
- Oct 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
1441 S Westnedge AveKalamazoo, MI 49008-1370
Phone 269-381-9800 · Fax 269-381-2932
Mailing address
1819 Gull RdKalamazoo, MI 49048-1611
Phone 269-381-9800 · Fax 269-381-2932
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