Individual
REGINA MARY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
527 ROCKLEDGE AVE, HUNTINGDON VALLEY, PA 19006-8511
(215) 880-3447
Mailing address
527 ROCKLEDGE AVE, HUNTINGDON VALLEY, PA 19006-8511
(215) 880-3447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
BH001222
PA
103K00000X
Behavior Analyst
Primary
BH001222
PA
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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