Individual
ALISHA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8761 BURR RIDGE CIR, CROWN POINT, IN 46307-1119
(708) 620-9379
Mailing address
8761 BURR RIDGE CIR, CROWN POINT, IN 46307-1119
(708) 620-9379
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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