Individual
JACOB A DEFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
100 W GROVE ST STE 302, EL DORADO, AR 71730-4669
(501) 358-6396
(501) 588-0484
Mailing address
317 OAK ST STE 3, CONWAY, AR 72032-5679
(501) 291-3091
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1701219
AR
Other
Enumeration date
01/18/2013
Last updated
12/18/2023
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