Individual
JACOB SOMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 S 4TH ST STE B, WYTHEVILLE, VA 24382-2500
(833) 356-4080
Mailing address
PO BOX 291943, NASHVILLE, TN 37229-1943
(833) 952-0829
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0704017262
VA
Other
Enumeration date
07/15/2024
Last updated
07/28/2025
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