Individual
MRS. DIANE JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
1709 LEGION RD STE 211, CHAPEL HILL, NC 27517-2374
(239) 560-5226
Mailing address
3607 STONEGATE DR, DURHAM, NC 27705-5475
(239) 560-5226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A13549
NC
Other
Enumeration date
01/30/2018
Last updated
02/08/2020
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