Individual provider · Type 1 NPI
Mitch Jacobs, LPC
Professional Counselor · Dallas, TX
NPI number
1295857894
Active
Practice location
10300 N Central Expy, Suite 290
Dallas, TX 75231-8600
Mailing address
6109 Averill Way
Dallas, TX 75225-3312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 13444 (TX) |
Professional Counselor: Definition to come...
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About NPI 1295857894
Mitch Jacobs, LPC's National Provider Identifier is 1295857894, issued on Apr 4, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.