Individual
JACOB MASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.C.-S
Contact information
Practice address
547 E 11TH AVE, COLUMBUS, OH 43211-2603
(614) 224-4506
Mailing address
547 E 11TH AVE, COLUMBUS, OH 43211-2603
(614) 224-4506
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.8167
OH
Other
Enumeration date
03/31/2016
Last updated
06/29/2016
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