Individual
DR. JACQUELINE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 PRESIDENTS DR STE 135, LANHAM, MD 20706-4894
(240) 429-7652
Mailing address
12422 SEABURY LN, BOWIE, MD 20715-3166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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