Individual
JACOB HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
1450 N COUNTY ROAD 2050 E, CARTHAGE, IL 62321-3551
(217) 357-6888
Mailing address
1450 N COUNTY ROAD 2050 E, CARTHAGE, IL 62321-3551
(217) 357-6888
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34677
IL
101YM0800X
Mental Health Counselor
150114486
IL
Other
Enumeration date
07/21/2022
Last updated
01/07/2025
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