Individual
MS. CHRISTY FLANNAGIN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC, NCC, BCC
Contact information
Practice address
113 2ND AVE SE, SUITE 4, DECATUR, AL 35601-2315
(256) 822-2375
(256) 822-2375
Mailing address
113 2ND AVE SE, SUITE 4, DECATUR, AL 35601-2315
(256) 822-2375
(256) 822-2375
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2542
AL
101YA0400X
Addiction (Substance Use Disorder) Counselor
2542
AL
101YM0800X
Mental Health Counselor
2542
AL
101YP2500X
Professional Counselor
Primary
2542
AL
106H00000X
Marriage & Family Therapist
2542
AL
Other
Enumeration date
11/29/2007
Last updated
11/02/2015
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