Individual
MR. JACOB SOBEL
Active
Individual
MR. JACOB SOBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
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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