IndividualActive
Matthew Jacobson
NPI 1952672735 · Addiction (Substance Use Disorder) Counselor · Moroni, UT
Provider details
- NPI number
- 1952672735
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
21360 N 1450 E
Moroni, UT 84646-0461
Phone: (435) 445-5200
Fax: (435) 445-5201
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 461
Moroni, UT 84646-0461
Registry dates
- Enumerated
- 2012-01-25
- Last updated
- 2012-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.