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Individual

KATRINA JACOBS

Active
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Individual

KATRINA JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
QMHA

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
133NN1002X
Nutrition Education Nutritionist
171M00000X
Case Manager/Care Coordinator
174400000X
Specialist
1744R1102X
Research Study Specialist
174H00000X
Health Educator
225C00000X
Rehabilitation Counselor
Primary
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency

Other

Enumeration date
07/07/2020
Last updated
11/27/2023
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