Individual
JAMES L JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 W CHESTER PIKE, SUITE 205, HAVERTOWN, PA 19083-4500
(610) 644-6464
(610) 981-6078
Mailing address
1440 RUSSELL RD, PAOLI, PA 19301-1236
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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