TARA ELIZABETH JACOBSON

VENICE, FL
NPI1801865977
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2006-03-14
Last Update Date2007-07-08
Business Address
MRS. TARA ELIZABETH JACOBSON BS
2210 S TAMIAMI TRAIL #10
VENICE, FL 34293
Phone number: 941-497-7742
Mailing Address
MRS. TARA ELIZABETH JACOBSON BS
2210 S TAMIAMI TRAIL #10
VENICE, FL 34293
Phone number: 941-497-7742