Individual
MR. WARREN RUPERT JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1063 14TH PL STE A, DES MOINES, IA 50314-1245
(515) 235-5224
(866) 672-0706
Mailing address
314 E 5TH ST, HUXLEY, IA 50124-9465
(515) 509-0219
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
086474
IA
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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