Individual
MR. LEON JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
3423 A MELROSE ROAD, FAYETTEVILLE, NC 28304
(910) 864-8739
(910) 864-8222
Mailing address
P. O. BOX 2992, PEMBROKE, NC 28372
(910) 521-0845
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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