Individual
JOSHUA MICHAEL JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
463B ERNEST BILES DR, JACKSON, GA 30233-2229
(770) 504-5645
(770) 504-5646
Mailing address
463B ERNEST BILES DR, JACKSON, GA 30233-2229
(770) 504-5645
(770) 504-5646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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