Individual
DONNA WITHEE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
260 PARK ST, GREAT BARRINGTON, MA 01230-1139
(413) 353-0027
(413) 353-0027
Mailing address
260 PARK ST, GREAT BARRINGTON, MA 01230-1139
(413) 353-0027
(413) 353-0027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117190
MA
1041C0700X
Clinical Social Worker
R018814
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050800
GHI - GROUP HEALTH INC.
NY
01
—
144811
VALUE OPTIONS
NY
01
—
P407545
OXFORD
NY
Enumeration date
01/20/2007
Last updated
10/30/2012
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