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Organization
LAURA JACOBS LMHC LLC
Active
Organization
LAURA JACOBS LMHC LLC
Active
Other names
Laura Jacobs LMHC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA JACOBS LMHC (OWNER)
(260) 633-3758
Entity
Organization
Contact information
Practice address
3142 MALLARD COVE LN, FORT WAYNE, IN 46804-2882
(260) 633-3758
(260) 366-6558
Mailing address
3142 MALLARD COVE LN, FORT WAYNE, IN 46804-2882
(260) 633-3758
(260) 366-6558
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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