Individual
MR. DELLKAWAA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
120 E LIBERTY ST STE 200, ANN ARBOR, MI 48104-2156
(734) 585-6966
Mailing address
120 E LIBERTY ST STE 200, ANN ARBOR, MI 48104-2156
(734) 585-6966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6801099473
MI
104100000X
Social Worker
Primary
6801109072
MI
1041C0700X
Clinical Social Worker
6801109072
MI
Other
Enumeration date
10/14/2016
Last updated
01/30/2025
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