Jacobson, Coral

Jacobson, Coral is an individual health care provider with primary practice located at 501 S 36Th St Ste 102 , Saint Joseph MO 64506-3067. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Family, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jacobson, Coral can be contacted via phone (816) 396-6002.

Contact Information

Primary practice address
501 S 36Th St Ste 102 Saint Joseph MO 64506-3067
Phone: (816) 396-6002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Family 103TF0000X 2848 Kansas
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 2021022398 Missouri

Profile Details

NPI number 1316300387
LBN Legal business name Jacobson, Coral
Credentials PLPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2016
Last updated Jul 28th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316300387 NPPES
Missouri Other 2021022398 PROFESSIONAL COUNSELING

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