Individual
MR. JACOB SOBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3949 HOLCOMB BRIDGE RD STE 200, PEACHTREE CORNERS, GA 30092-2208
(404) 369-3985
Mailing address
3445 HIGHCROFT CIR, PEACHTREE CORNERS, GA 30092-4964
(678) 923-4680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MSW007491
GA
1041C0700X
Clinical Social Worker
Primary
CSW007442
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295492684
ORGANIZATION NPI
GA
Enumeration date
12/21/2019
Last updated
01/19/2022
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