Individual
MRS. BRIANNA KAITLIN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 CENTERVIEW DR STE 110, GREENSBORO, NC 27407-3709
(336) 455-1305
Mailing address
3640 BELMONT ST, GREENSBORO, NC 27406-4948
(336) 455-1305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15585
NC
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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