Individual
CAROL ANN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
127 THOMPSON ST, ASHLAND, VA 23005-1511
(804) 752-7989
Mailing address
14501 THREE OAKS TER, MONTPELIER, VA 23192-2813
(804) 752-7989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904001422
VA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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