Individual
CAROLYN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6311 N 49TH AVE, OMAHA, NE 68104-1320
(402) 208-2817
Mailing address
6311 N 49TH AVE, OMAHA, NE 68104-1320
(402) 208-2817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9798
NE
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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