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1326233420 NPI number — LINDA MARGARET JACOBUS LMFT

NPI Number: 1326233420
Health Care Provider/Practitioner: LINDA MARGARET JACOBUS LMFT

Information about “1326233420” NPI (LINDA MARGARET JACOBUS LMFT) exists in 1326233420 in HTML format HTML  |  1326233420 in plain Text format TXT  |  1326233420 in PDF (Portable Document Format) PDF  |  1326233420 in an XML format XML  formats.

NPI Number : 1326233420 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326233420",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JACOBUS",
    "FirstName": "LINDA",
    "MiddleName": "MARGARET",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "24 EMU ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FREEPORT",
    "MailingAddressStateName": "ME",
    "MailingAddressPostalCode": "04032-6037",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-404-2878",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "273 MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YARMOUTH",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04096-6753",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "207-846-0404",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/11/2007",
    "LastUpdateDate": "10/24/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "MFC 43982",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "9",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "MF3924",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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