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

Krystal Jacobus

Individual provider Professional Counselor · NPI 1457710089

Krystal Jacobus is a Professional Counselor in Vancouver, Washington. Practices as a sole proprietor. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

3200 NE 109th Ave
Vancouver, WA 98682-7749
Phone: (360) 695-1014
Fax: (360) 750-1374
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LH60863847 (WA)
Professional Counselor Taxonomy 101YP2500X · Licence C6441 (OR)

Record details

NPI number1457710089
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 10, 2016
Last updated in NPPESApril 27, 2023
Certification dateApril 26, 2023
Mailing address3200 Ne 109th Ave, Vancouver, WA 98682-7749

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