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Individual
MRS. LILLIE MARIE JACOBS
Active
Individual
MRS. LILLIE MARIE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C002751
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026940
VMC BEHAVIORAL
—
01
—
13318
BLUE CROSS BLUE SHIELD
NC
01
—
262210
COMP PSYCH
—
01
—
3077B1531
MEDCOST
—
01
—
555280
VALUE OPTIONS
—
05
—
6002517
—
NC
01
—
QMXTR0029414
MENTAL HEALTH NETWORK
—
Enumeration date
05/15/2006
Last updated
11/10/2021
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