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LAVONNE JACOBSON CSAC
NPI 1104017953
Counselor - Addiction (Substance Use Disorder) in Shawano, WI

Active since August 07, 2007
504 LAKELAND RD, SHAWANO, WI 54166(715) 526-5547(715) 526-5542 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lavonne Jacobson Csac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAVONNE JACOBSON CSAC (NPI 1104017953) is an individual addiction (substance use disorder) provider in Shawano, Wisconsin and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1104017953
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLAVONNE JACOBSONCredential: CSAC
Location Address504 LAKELAND RDShawano, WI 54166-3836
Mailing Address504 Lakeland RdShawano, WI 54166-3836 · (715) 526-5547 · Fax (715) 526-5542
Phone(715) 526-5547
Fax(715) 526-5542
Sole ProprietorNo
Enumeration DateAugust 7, 2007
Last NPPES UpdateJanuary 15, 2014
✔ NPI 1104017953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
504 LAKELAND RD, Shawano, WI 54166
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE T SCHROEDER B.S.
Social Worker
504 LAKELAND RD
SHAWANO, WI 54166
Shawano County (715) 526-5547
MRS. TRACY VAN ERT
Counselor
504 LAKELAND RD
SHAWANO, WI 54166
Shawano County (715) 526-5547
MRS. KATIE JANE BARTELL MA, LPC, SACIT
Counselor (Professional)
504 LAKELAND RD
SHAWANO, WI 54166
Shawano County (715) 526-5547
KRISTY IMIG
Case Manager/Care Coordinator
504 LAKELAND RD
SHAWANO, WI 54166
Shawano County (715) 526-5547
KATIE MARIE MARQUARDT
Counselor
504 LAKELAND RD
SHAWANO, WI 54166
Shawano County (715) 526-5547
MR. ABRAHAM GERALD MORRIS
Case Manager/Care Coordinator
504 LAKELAND RD
SHAWANO, WI 54166
Shawano County (715) 526-5547
GARY KOMP B.S.
Social Worker
504 LAKELAND RD
SHAWANO, WI 54166
Shawano County (715) 526-5547
DAMON MICHAEL METOXEN
Case Manager/Care Coordinator
504 LAKELAND RD
SHAWANO, WI 54166
Shawano County (715) 526-5547

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lavonne Jacobson's NPI number?

The NPI number for Lavonne Jacobson is 1104017953. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Lavonne Jacobson located?

Lavonne Jacobson practices at 504 Lakeland Rd, Shawano, WI 54166. The listed phone number is (715) 526-5547.

What is Lavonne Jacobson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lavonne Jacobson was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.