Individual provider · Type 1 NPI

Tammy Demetrius Jacobs, LMHC, LPC, MA

Mental Health Counselor · Wilmington, NC

NPI number 1114358660 Active

Practice location

503 Covil Ave Ste 102
Wilmington, NC 28403-2683

Call (910) 202-4270 Map

Mailing address

4369 Milner Rd W
Birmingham, AL 35242-7355

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLGP11355 (MD)
Mental Health Counselor Primary 101YM0800XC8286 (OR)
Mental Health Counselor 101YM0800XLPC05181 (AL)
Mental Health Counselor 101YM0800X14816 (NC)
Mental Health Counselor 101YM0800X12852525-6009 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1114358660

Tammy Demetrius Jacobs, LMHC, LPC, MA's National Provider Identifier is 1114358660, issued on Dec 10, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilmington, NC. The record was last updated on Oct 17, 2024.