Individual
JACOB WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 1ST AVE, FAIRBANKS, AK 99701-4871
(907) 452-8251
Mailing address
122 1ST AVE STE 600, FAIRBANKS, AK 99701-4899
(907) 452-8251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/06/2022
Last updated
07/24/2024
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