Individual
JACOB WILLIAM MAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1205 APPLEGATE LN, CLARKSVILLE, IN 47129-9608
(812) 283-8383
Mailing address
1205 APPLEGATE LN, CLARKSVILLE, IN 47129-9608
(812) 283-8383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99102099A
IN
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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