Individual
MR. MARCUS THURL JACOBS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LMHC, ICAC
Contact information
Practice address
427 N 6TH ST, LAFAYETTE, IN 47901-1189
(765) 420-0938
(765) 420-8218
Mailing address
427 N 6TH ST, LAFAYETTE, IN 47901-1189
(765) 420-0938
(765) 420-8218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000008A
IN
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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