SUSAN E JACOBY

PORTLAND, OR
NPI1184089161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  LPC C0924)
Enumeration Date2015-12-17
Last Update Date2015-12-17
Business Address
-- SUSAN E JACOBY M.S. LPC
5228 NE HOYT ST
PORTLAND, OR 97213-3055
Phone number: 503-215-1612
Mailing Address
-- SUSAN E JACOBY M.S. LPC
5228 NE HOYT ST
PORTLAND, OR 97213-3055
Phone number: 503-215-1612
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