Individual
CHARLES JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7026 CORNER CREEK WAY, GLENN DALE, MD 20769-9472
(240) 779-6806
Mailing address
7026 CORNER CREEK WAY, GLENN DALE, MD 20769-9472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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