Provider Demographics
NPI:1477005791
Name:SMITH-JACOBSON, SABRINA (LMHC)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:SMITH-JACOBSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 POST OFFICE SQ
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-3206
Mailing Address - Country:US
Mailing Address - Phone:508-822-4027
Mailing Address - Fax:
Practice Address - Street 1:5 POST OFFICE SQ
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3206
Practice Address - Country:US
Practice Address - Phone:508-822-4027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9703101YM0800X
RI791101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health