Individual
MICHELLE L JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1301 N HIGH ST, COLUMBUS, OH 43201-2460
(614) 299-6600
Mailing address
1301 N HIGH ST, COLUMBUS, OH 43201-2460
(614) 374-8402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.2204418
OH
163W00000X
Registered Nurse
RN.518330
OH
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN.518330
OH
164W00000X
Licensed Practical Nurse
PN 95769
OH
Other
Enumeration date
02/19/2013
Last updated
02/16/2023
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