Individual
DR. JACOB SANTHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD, LCPC
Contact information
Practice address
1700 66TH ST N # 104-312, ST PETERSBURG, FL 33710-5544
(312) 883-4077
Mailing address
1700 66TH ST N # 104-312, ST PETERSBURG, FL 33710-5544
(312) 883-4077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180013074
IL
101YP2500X
Professional Counselor
7778
ID
101YP2500X
Professional Counselor
LPC.0017827
CO
101YP2500X
Professional Counselor
Primary
MH24041
FL
Other
Enumeration date
08/11/2020
Last updated
04/25/2025
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