Organization
JEANETTE S. JACOBS, PSY.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANETTE S JACOBS PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(386) 943-9040
Entity
Organization
Contact information
Practice address
1109 W EUCLID AVE, DELAND, FL 32720-6553
(386) 943-9040
Mailing address
1109 W EUCLID AVE, DELAND, FL 32720-6553
(386) 943-9040
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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