Individual provider · Type 1 NPI

Amy J. Jacob

Mental Health Counselor · Greeley, CO

NPI number 1326458480 Active

Practice location

1140 M St
Greeley, CO 80631-9586

Mailing address

1300 N 17th Ave
Greeley, CO 80631-9584

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1326458480

Amy J. Jacob's National Provider Identifier is 1326458480, issued on Apr 29, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greeley, CO. The record was last updated on Apr 29, 2014.