Individual
KIMBERLY MICHELLE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTT CT
Contact information
Practice address
1433 5TH ST NW, NEW PHILADELPHIA, OH 44663-1223
(440) 260-5830
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.2002358-TRNE
OH
106H00000X
Marriage & Family Therapist
Primary
M.2000185-TRNE
OH
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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