Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jadivan Jacobson, LAAC

Individual provider Counselor · NPI 1790297273

Jadivan Jacobson, LAAC is a Counselor in Tukwila, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017

Practice location Address checks out

6100 Southcenter Blvd
Tukwila, WA 98188-2442
Phone: (206) 901-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CU61537213 (WA)

Record details

NPI number1790297273
Entity typeIndividual (Type 1)
GenderMale
Credentials LAAC
Sole proprietorNo
NPI enumeratedOctober 24, 2017
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address6400 Southcenter Blvd, Tukwila, WA 98188-2547

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