Individual
JACOB W ABBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
(970) 731-0511
Mailing address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
(970) 731-0511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0018706
CO
Other
Enumeration date
03/25/2019
Last updated
08/27/2024
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