Individual
JACOB LEONARD TOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 GOOD HOPE RD SE, WASHINGTON, DC 20020-6912
(202) 610-1886
Mailing address
231 CANAAN CHURCH RD, LA CROSSE, VA 23950-2108
(434) 247-0124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3618
VA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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