Individual
JACOB SMYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT IT
Contact information
Practice address
550 RIVER RD, EUGENE, OR 97404-3212
(541) 743-2611
Mailing address
29085 COUNTY HWY W, HOLCOMBE, WI 54745-4546
(715) 204-9221
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
WI
Other
Enumeration date
12/21/2013
Last updated
09/01/2023
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