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Individual
TAMMY DEMETRIUS JACOBS
Active
Individual
TAMMY DEMETRIUS JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LPC, MA,
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12852525-6009
UT
101YM0800X
Mental Health Counselor
14816
NC
101YM0800X
Mental Health Counselor
Primary
C8286
OR
101YM0800X
Mental Health Counselor
LGP11355
MD
101YM0800X
Mental Health Counselor
LPC05181
AL
Other
Enumeration date
12/10/2013
Last updated
10/17/2024
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