Individual provider · Type 1 NPI

Rickie Jacob

Mental Health Counselor · Dallas, TX

NPI number 1649098997 Active

Practice location

5220 Spring Valley Rd Ste 610
Dallas, TX 75254-3059

Mailing address

289 Orchard Ln
Sunnyvale, TX 75182-2630

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1649098997

Rickie Jacob's National Provider Identifier is 1649098997, issued on Sep 26, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Sep 26, 2024.