Natalie Jacobs, LPC, NCC, R-DMT
Counselor, Professional in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1164095204
StatusActive
Last updated in NPPESMay 20, 2025
Details
- NPI
- 1164095204
- Entity type
- Individual (NPI-1)
- Name
- Natalie Jacobs
- Credential
- LPC, NCC, R-DMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2021
- Certification date
- May 20, 2025
- Last updated
- May 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401223711 | MI | Yes |
Practice location
2220 Wealthy St SeGrand Rapids, MI 49506-3016
Phone 616-277-7533
Mailing address
10970 Wellington Dr NeRockford, MI 49341-8638
Phone 248-974-0026
Other practice locations
8 E Bridge St Ste D1
Rockford, MI 49341-1601
Rockford, MI 49341-1601
Phone 616-263-1409
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