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Individual
MICHELLE L JACOBS
Active
Individual
MICHELLE L JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.2204418
OH
163W00000X
Registered Nurse
RN.518330
OH
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN.518330
OH
164W00000X
Licensed Practical Nurse
PN 95769
OH
Other
Enumeration date
02/19/2013
Last updated
09/29/2026
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