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Individual

ARIEL JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
226 S JEFFERSON ST, FREDERICK, MD 21701-6205
(301) 663-6135
Mailing address
90 KENAN ST, TANEYTOWN, MD 21787-2627

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC12255
MD
101YM0800X
Mental Health Counselor
LGP9138
MD

Other

Enumeration date
10/30/2018
Last updated
01/17/2022
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