Organization
COLONY BEHAVIORAL HEALTH GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANNE T JACOBSON PHD (OWNER)
(252) 636-0112
Entity
Organization
Contact information
Practice address
2807 NEUSE BLVD, STE 3, NEW BERN, NC 28562-2815
(252) 636-0112
(252) 634-9778
Mailing address
2807 NEUSE BLVD, STE 3, NEW BERN, NC 28562-2815
(252) 636-0112
(252) 634-9778
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/26/2012
Last updated
09/28/2012
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