Individual
SANDRA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1974
(912) 554-8400
(912) 265-2683
Mailing address
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520-1974
(912) 554-8400
(912) 265-2683
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC002143
GA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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