Individual
DWAYNE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, 6090
Contact information
Practice address
1405 W PINHOOK RD STE 107, LAFAYETTE, LA 70503-3100
(337) 232-9459
Mailing address
1405 W PINHOOK RD STE 107, LAFAYETTE, LA 70503-3100
(337) 232-9459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
6090
LA
Other
Enumeration date
11/23/2015
Last updated
02/25/2026
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