Individual
HOLLY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4650 MEXICO RD, SAINT PETERS, MO 63376-1607
(636) 498-9326
Mailing address
2220 BEAM PL, FLORISSANT, MO 63031-8522
(636) 498-9326
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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