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NPI 1740409309

IndividualActive

Amy Jacobsen, MA

NPI 1740409309 · Counselor · Shelton, WA

Provider details

NPI number: 1740409309
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Credential: MA
Sex: Female
Sole proprietor: No
License: CGC60181519 (WA)

Practice location

110 W K St

Shelton, WA 98584-2944

Phone: (360) 426-1696

More WA providers

Mailing address

110 W K St

Shelton, WA 98584-2944

Registry dates

Enumerated: 2007-04-24
Last updated: 2024-07-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Amy Jacobsen, MA — NPI 1740409309, Shelton, WA | NPI Central