Individual provider · Type 1 NPI
Tirzah D. Jacob, LPC
Professional Counselor · Portland, OR
NPI number
1669497467
Active
Practice location
6129 NE Skidmore St
Portland, OR 97218-2227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | C1780 (OR) |
| Professional Counselor Primary | 101YP2500X | C1780 (OR) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1669497467
Tirzah D. Jacob, LPC's National Provider Identifier is 1669497467, issued on Jul 13, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Jun 1, 2023.