Individual
JACOB WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
303 N STADIUM BLVD FL 2, COLUMBIA, MO 65203-1493
(855) 593-4349
Mailing address
17 KIPLING WAY APT 101, COLUMBIA, MO 65201-8137
(417) 214-4723
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018040841
MO
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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