Individual
JACOB RYAN PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
104 BUCHANAN, NORMAL, AL 35762
(404) 455-0776
Mailing address
104 BUCHANAN, NORMAL, AL 35762
(404) 455-0776
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AL
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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