Individual
ERIN JEAN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4205 STATE ST STE 5, BISMARCK, ND 58503-0623
(701) 937-4695
Mailing address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501-1208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1101-1-1-21-535
ND
Other
Enumeration date
09/27/2018
Last updated
06/05/2025
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