Individual
GAIL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 E LAUREL RD STE 1100, STRATFORD, NJ 08084-1354
(856) 566-7036
(856) 566-6108
Mailing address
42 E LAUREL RD STE 1100, STRATFORD, NJ 08084-1354
(856) 566-7036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC05646400
NJ
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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