Individual
MS. CHARLENE R JACOBS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
21 REGAL ST, HOLLISTON, MA 01746-1808
(508) 429-5242
Mailing address
21 REGAL ST, HOLLISTON, MA 01746-1808
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3997
MA
Other
Enumeration date
09/21/2005
Last updated
07/08/2007
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