GARY MATTHEW JACOBOSKI LPC-IT NPI 1588310080

NPI Information

NPI: 1588310080
Provider Name: GARY MATTHEW JACOBOSKI, LPC-IT
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1320 MENDOTA ST STE 120
MADISON, WI
ZIP 53714
Phone: (608) 800-1251
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Gary Matthew Jacoboski, LPC-IT is a professional counselor in Madison, WI. Gary Matthew Jacoboski, LPC-IT NPI is 1588310080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1320 MENDOTA ST STE 120
MADISON, WI
ZIP 53714-060
Phone: (608) 800-1251

The enumeration date for this NPI number is 2/23/2022 and was last updated on 2/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	5188-226	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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