Individual
JACOB TELEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8440 MARKET ST, BOARDMAN, OH 44512-6702
(330) 965-9999
(330) 757-0000
Mailing address
8440 MARKET ST, BOARDMAN, OH 44512-6702
(330) 965-9999
(330) 757-0000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1300359
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3033390
—
OH
Enumeration date
02/05/2015
Last updated
03/05/2019
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