Organization
LAURA JACOBS LMHC LLC
Active
Other names
Laura Jacobs LMHC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA JACOBS LMHC (OWNER)
(260) 633-3758
Entity
Organization
Contact information
Practice address
3142 MALLARD COVE LN, FORT WAYNE, IN 46804-2882
(260) 633-3758
(260) 366-6558
Mailing address
3142 MALLARD COVE LN, FORT WAYNE, IN 46804-2882
(260) 633-3758
(260) 366-6558
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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