Individual
AMY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 DELMAR BLVD STE B300, SAINT LOUIS, MO 63112-3078
(314) 628-6290
Mailing address
5501 DELMAR BLVD STE B300, SAINT LOUIS, MO 63112-3078
(314) 628-6290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/23/2020
Last updated
10/05/2023
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