Individual
JUDITH ANN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8400 N UNIVERSITY DR STE 209, TAMARAC, FL 33321
(954) 880-5985
Mailing address
817 N DIXIE HWY, POMPANO BEACH, FL 33060-5621
(954) 785-8285
(954) 784-2756
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMT2016
RMFTI
FL
01
—
IMT2106
RMFTI
FL
Enumeration date
02/23/2017
Last updated
07/09/2018
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