Individual
MR. COTTRELL LAMAR JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9430 BROADWAY ST STE 120, PEARLAND, TX 77584-8075
(281) 824-1480
(281) 220-6407
Mailing address
1612 CALLAWAY DR, ALVIN, TX 77511-3743
(281) 824-1480
(281) 220-6407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
66456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66456
LICENSE PROFESSIONAL COUNSELOR
TX
Enumeration date
05/30/2012
Last updated
05/22/2024
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