Individual
JACOB DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 E MAIN ST, MOREHEAD, KY 40351-1671
(606) 329-8588
(606) 329-8140
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
303898
KY
Other
Enumeration date
04/06/2022
Last updated
11/11/2025
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