DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAVONNE JACOBSON, CSAC

Active

LAVONNE JACOBSON, CSAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SHAWANO, Wisconsin. NPI 1104017953 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · SHAWANO, WI

Registration Details

NPI Number
1104017953
Provider Type
Individual
Gender
Female
NPI Issued
Aug 7, 2007 (18.992502444301 yrs)
Last Updated
Jan 15, 2014

Practice Information

Address
504 LAKELAND RD
SHAWANO, WI, 541663836
Browse WI providers · Browse ZIP 54166
Phone
7155265547
Fax
7155265542
Additional Specialty
Mental Health Counselor

Other Addiction (Substance Use Disorder) Counselor Providers in SHAWANO, WI

Name Credential NPI
JOANN W LISKA MSW LCSW SAC CCS 1992894224
KRISTINA L SEGLAH CADC-II, CSAC, CSI-T 1861087439
VINCE LONG SAC 1881356822
MARLA D RHOADS-ETTEN CSAC 1558190363
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.