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

Mary Jacobson, SW, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1912524976

Mary Jacobson, SW, SAC-IT is an Addiction (Substance Use Disorder) Counselor in LA Crosse, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020

Practice location Address checks out

300 4th St N
LA Crosse, WI 54601-3228
Phone: (608) 784-4357
Fax: (608) 785-6122
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 · Licence 19001-130 (WI)

Record details

NPI number1912524976
Entity typeIndividual (Type 1)
GenderFemale
Credentials SW , SAC-IT
Sole proprietorNo
NPI enumeratedJune 25, 2020
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020

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