Individual
MR. FRED JACOBY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1546 ROUTE 209, STE 106, BRODHEADSVILLE, PA 18322-7142
(570) 402-5088
Mailing address
1546 ROUTE 209, STE 106, BRODHEADSVILLE, PA 18322-7142
(570) 402-5088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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