Individual
CHERI JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 H ST, GREELEY, CO 80631-9115
(970) 347-2120
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
CO
Other
Enumeration date
08/03/2018
Last updated
07/19/2021
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