Individual
MR. JACOB ALEXANDER HASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10300 BROOKRIDGE VILLAGE BLVD STE 104, LOUISVILLE, KY 40291-4474
(502) 785-4322
Mailing address
309 W SHANNON LN # D16, SHEPHERDSVILLE, KY 40165-4919
(502) 297-3093
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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