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Individual

JACOB ECKENRODE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
805 MADISON ST SE STE 2E, HUNTSVILLE, AL 35801-4424
(256) 651-7306
Mailing address
1208 SHADOW RIDGE DR SE, HUNTSVILLE, AL 35803-3652
(256) 651-7306

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
AL
106S00000X
Behavior Technician
Primary
AL

Other

Enumeration date
06/15/2026
Last updated
06/22/2026
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