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Individual
JONATHON JACOBS
Active
Individual
JONATHON JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7044-125
WI
Other
Enumeration date
05/26/2015
Last updated
03/19/2021
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