Individual
JOSEPH Y JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 PENNINGTON AVE, PASSAIC, NJ 07055-4685
(646) 580-5481
Mailing address
211 PENNINGTON AVE APT E303, PASSAIC, NJ 07055-4787
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
027640
NY
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
03/06/2026
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