Individual
JACOB BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
7700 MINNESOTA AVE, SAINT LOUIS, MO 63111-3336
(314) 449-1497
Mailing address
833 AIRPORT RD, SAINT LOUIS, MO 63135-1819
(314) 737-0056
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2026027887
MO
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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