Individual
JULIE LYNNE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
1166 E WARNER RD, SUITE 203, GILBERT, AZ 85296-3064
(480) 459-9994
(480) 907-1471
Mailing address
1166 E WARNER ROAD, SUITE 203, GILBERT, AZ 85296-3064
(480) 459-9994
(480) 907-1471
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-12821
AZ
Other
Enumeration date
04/24/2012
Last updated
02/22/2019
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