Provider Demographics
NPI:1235282732
Name:JACOBSON, FRANCIS M (LP)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:M
Last Name:JACOBSON
Suffix:
Gender:M
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 E MINNESOTA AVE
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537-1763
Mailing Address - Country:US
Mailing Address - Phone:218-739-4797
Mailing Address - Fax:
Practice Address - Street 1:126 EAST ALCOTT AVENUE
Practice Address - Street 2:LAKELAND MENTAL HEALTH CENTER
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-2999
Practice Address - Country:US
Practice Address - Phone:218-736-6987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP2936103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling