MATTHEW ELMO JACOBSON
NPI 1952672735
Counselor - Addiction (Substance Use Disorder) in Moroni, UT

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since January 25, 2012

21360 N 1450 E, MORONI, UT 84646(435) 445-5200(435) 445-5201 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Matthew Elmo Jacobson NPPES

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

MATTHEW ELMO JACOBSON (NPI 1952672735) is an individual addiction (substance use disorder) provider in Moroni, Utah and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1952672735

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMATTHEW ELMO JACOBSON

Location Address21360 N 1450 EMoroni, UT 84646-0461

Mailing AddressPo Box 461Moroni, UT 84646-0461 · (435) 445-5200 · Fax (435) 445-5201

Phone(435) 445-5200

Fax(435) 445-5201

Sole ProprietorYes

Enumeration DateJanuary 25, 2012

✔ NPI 1952672735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

21360 N 1450 E, Moroni, UT 84646

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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.

LIGHTHOUSE RANCH

Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)