Individual
JESSICA VAN NESS JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
313 WESTERN BLVD STE E, GREENWOOD, IN 46142-9217
(317) 426-1847
Mailing address
313 WESTERN BLVD STE E, GREENWOOD, IN 46142-9217
(317) 426-1847
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008517A
IN
Other
Enumeration date
09/17/2014
Last updated
01/22/2020
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