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Individual

CHRISTOPHER RICHARD JAKUB SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC, LMHC

Contact information

Practice address
303 NE 3RD AVE, CAPE CORAL, FL 33909-2538
(239) 799-2198
(239) 354-7234
Mailing address
303 NE 3RD AVE STE 8, CAPE CORAL, FL 33909-2538
(239) 799-2198
(239) 354-7234

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E2001805
OH
101YM0800X
Mental Health Counselor
Primary
MH19081
FL

Other

Enumeration date
10/10/2018
Last updated
10/26/2023
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