Individual
ASHLEY MARIE JACOBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
QMHA
Contact information
Practice address
19003 SE 12TH WAY, VANCOUVER, WA 98683-9784
(360) 607-6579
Mailing address
4900 MEADOWS RD STE 250, LAKE OSWEGO, OR 97035-3173
(360) 607-6579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
OR
Other
Enumeration date
07/20/2021
Last updated
04/29/2024
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