Individual
DR. JACOB ALAN YORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6258 NOTTINGHAM AVE APT 2W, SAINT LOUIS, MO 63109-3154
(314) 532-0496
Mailing address
6258 NOTTINGHAM AVE APT 2W, SAINT LOUIS, MO 63109-3154
(314) 532-0496
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2022045402
MO
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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