Individual
JACOB COLLINS-GAMBILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6604 SIX FORKS RD STE 101, RALEIGH, NC 27615-6521
(984) 235-2545
Mailing address
6604 SIX FORKS RD STE 101, RALEIGH, NC 27615-6521
(336) 467-4160
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
20175A
NC
Other
Enumeration date
04/23/2024
Last updated
11/13/2025
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