Individual
JAMIE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S HUNTINGTON ST, SYRACUSE, IN 46567-1923
(574) 457-4400
(574) 457-4141
Mailing address
PO BOX 497, WARSAW, IN 46581-0497
(574) 267-7169
(574) 269-4189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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