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Individual
MIKEL ALEXANDER JACOBO
Active
Individual
MIKEL ALEXANDER JACOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25-QMHA-I-004910
OR
171M00000X
Case Manager/Care Coordinator
25-QMHA-I-004910
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
08/04/2025
Last updated
09/03/2026
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