Provider Demographics
NPI:1013522093
Name:RUTH L. JACOBSON, MS, LMFT, LLC
Entity Type:Organization
Organization Name:RUTH L. JACOBSON, MS, LMFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE & FAMILY THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:L
Authorized Official - Last Name:JACOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:860-604-3101
Mailing Address - Street 1:17 MERRYWOOD
Mailing Address - Street 2:
Mailing Address - City:SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06070-2613
Mailing Address - Country:US
Mailing Address - Phone:860-604-3101
Mailing Address - Fax:860-658-6002
Practice Address - Street 1:10 N MAIN ST STE 315
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-1901
Practice Address - Country:US
Practice Address - Phone:860-604-3101
Practice Address - Fax:860-658-6002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty