Organization
SOUTHEASTERN PSYCHOLOGICAL AND COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. WALTER JACOBS PH.D. (PRESIDENT)
(334) 794-5467
Entity
Organization
Contact information
Practice address
256 HONEYSUCKLE RD, SUITE 14, DOTHAN, AL 36305-1157
(334) 794-5467
(334) 677-1051
Mailing address
256 HONEYSUCKLE RD, SUITE 14, DOTHAN, AL 36305-1157
(334) 794-5467
(334) 677-1051
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1377
AL
103T00000X
Psychologist
325
AL
Other
Enumeration date
03/22/2007
Last updated
09/11/2025
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