Individual provider · Type 1 NPI

Krystal Jacobus

Mental Health Counselor · Vancouver, WA

NPI number 1457710089 Active

Practice location

3200 NE 109th Ave
Vancouver, WA 98682-7749

Call (360) 695-1014 Map

Fax (360) 750-1374

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XC6441 (OR)
Mental Health Counselor Primary 101YM0800XLH60863847 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1457710089

Krystal Jacobus's National Provider Identifier is 1457710089, issued on Feb 10, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Apr 27, 2023.