Individual ProviderLavelle Dawn JacobsonMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address43585 Monterey Ave Ste 8, Palm Desert, CA 92260-9400(760) 776-0670PECOS EnrollmentBased on the most recent information from CMS, provider Lavelle Dawn Jacobson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1427693886Provider TypeIndividualFull NameJacobson, Lavelle DawnCredentialLMFTGenderFemaleSole ProprietorYesEnumeration Date11/8/2019Last Updated11/8/2019Contact InformationPractice LocationPractice Address43585 Monterey Ave Ste 8, Palm Desert, CA 92260-9400Phone(760) 776-0670FaxUnlisted FaxMailing LocationMailing Address43585 Monterey Ave Ste 8, Palm Desert, CA 92260-9400Phone(760) 776-0670FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense116178California