Individual
BRANDON JOEL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TLMFT
Contact information
Practice address
4505 E 47TH ST S, WICHITA, KS 67210-1651
(316) 529-9276
Mailing address
900 W BROADWAY ST, NEWTON, KS 67114-2037
(316) 283-1950
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T-LMFT870
KS
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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