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

Lavonne Jacobson, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104017953

Lavonne Jacobson, CSAC is an Addiction (Substance Use Disorder) Counselor in Shawano, Wisconsin. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

504 Lakeland Rd
Shawano, WI 54166-3836
Phone: (715) 526-5547
Fax: (715) 526-5542
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1104017953
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSAC
Sole proprietorNo
NPI enumeratedAugust 7, 2007
Last updated in NPPESJanuary 15, 2014
Mailing address504 Lakeland Rd, Shawano, WI 54166-3836

Other providers in Shawano