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Organization
STEPHANIE JACOBS, PHD, LMHC
Active
Organization
STEPHANIE JACOBS, PHD, LMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JACOBS (OWNER)
(917) 439-0628
Entity
Organization
Contact information
Practice address
320 W 30TH ST, 2F, NEW YORK, NY 10001-2710
(917) 439-0628
Mailing address
320 W 30TH ST, 2F, NEW YORK, NY 10001-2710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004724
NY
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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