Jacobs, Jon Scott

Jacobs, Jon Scott is an individual health care provider with primary practice located at 408 Red Cedar St , Menomonie WI 54751. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Jacobs, Jon Scott can be contacted via phone (715) 235-4696.

Contact Information

Primary practice address
408 Red Cedar St Menomonie WI 54751
Phone: (715) 235-4696
Fax: (715) 235-3941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 397124 Wisconsin

Profile Details

NPI number 1982779831
LBN Legal business name Jacobs, Jon Scott
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982779831 NPPES
Wisconsin MEDICAID 39174500

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