Individual
ALETHA SHA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2903 STRAIGHT ELM, FRESNO, TX 77545-8163
(832) 236-1565
Mailing address
PO BOX 69004, ALEXANDRIA, LA 71306-9004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
85583
TX
Other
Enumeration date
10/29/2007
Last updated
06/14/2023
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