Individual
MR. JIM R JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3263 FRASER ST STE 3, AURORA, CO 80011-1245
(303) 371-1000
(303) 371-1002
Mailing address
10259 OURAY ST, COMMERCE CITY, CO 80022-7149
(303) 288-2660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
890
CO
1041C0700X
Clinical Social Worker
SW8008
FL
Other
Enumeration date
09/14/2006
Last updated
02/01/2010
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