Individual
DEBORAH ANN JACOB-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
101 W LOOMIS ST, SUITE 206, LUDINGTON, MI 49431-2091
(231) 845-7809
Mailing address
1025 N FERRY ST, LUDINGTON, MI 49431-1321
(231) 233-2614
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401010898
MI
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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