Jacobsen, Heidi Joan

Jacobsen, Heidi Joan is an individual health care provider with primary practice located at 10 Market Place Dr , York ME 03909-1680. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jacobsen, Heidi Joan can be contacted via phone (603) 960-4185.

Contact Information

Primary practice address
10 Market Place Dr York ME 03909-1680
Phone: (603) 960-4185
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4968 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH9011 Florida

Profile Details

NPI number 1962840819
LBN Legal business name Jacobsen, Heidi Joan
Credentials MS, LMHC M-CAP, LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2013
Last updated Jul 9th, 2019 - about 6 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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