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Individual
JULIAN J JACOBS
Active
Individual
JULIAN J JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0001121
CO
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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