Individual
JACOB HARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8739 NEW HARMONY RD, EVANSVILLE, IN 47720-8909
(812) 568-6654
Mailing address
8739 NEW HARMONY RD, EVANSVILLE, IN 47720-8909
(812) 568-6654
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004716A
IN
Other
Enumeration date
06/01/2020
Last updated
02/05/2024
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