Individual provider · Type 1 NPI

Brian Phillip Jacoby I, MA

Professional Counselor · Portland, OR

NPI number 1144536020 Active

Practice location

847 NE 19th Ave Ste 100
Portland, OR 97232-2684

Call (979) 275-7895 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC3747 (OR)
Mental Health Counselor 101YM0800XNone listed

Professional Counselor: Definition to come...

335 other providers at this address

Other professional counselor providers in Portland

See all in Portland →

About NPI 1144536020

Brian Phillip Jacoby I, MA's National Provider Identifier is 1144536020, issued on Aug 30, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Feb 19, 2016.