Individual
DAMON LANCE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1900 SECOND AVENUE, 9TH FLOOR, NEW YORK, NY 10029
(212) 360-7893
(212) 348-7253
Mailing address
1900 SECOND AVENUE, 9TH FLOOR, NEW YORK, NY 10029
(212) 360-7893
(212) 348-7253
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000455
NY
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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