NPI 1144479395

Ryan Andrew Jacobson

Practitioner Marriage & Family Therapist Wausau, WI

Practice location

Address: 1810 N 2nd St, Wausau, WI 54403-3492
Phone: (715) 848-4884
Fax: (715) 845-5385

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 1094-124 (WI)

Other Marriage & Family Therapist providers in Wisconsin →

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 78952 (CA)

Registry record

NPI: 1144479395
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Sep 2008
Record last updated: 9 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.