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Brae Davene Jacobson, LPC

Counselor, Mental Health in San Antonio, TX. Individual provider (NPI-1).

NPI number1730891763
StatusActive
Last updated in NPPESDec 21, 2022

Details

NPI
1730891763
Entity type
Individual (NPI-1)
Name
Brae Davene Jacobson
Credential
LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 21, 2022
Certification date
Dec 21, 2022
Last updated
Dec 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health10319TXYes

Practice location

10114 Sunflower Ln
San Antonio, TX 78213-1924

Phone 512-540-1810

Mailing address

10114 Sunflower Ln
San Antonio, TX 78213-1924

Phone 512-540-1810

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