Individual provider · Type 1 NPI

Patrice Alana Jacob, PhD

Mental Health Counselor · Ridgefield, WA

NPI number 1669919148 Active

Practice location

1361 S 15th Way
Ridgefield, WA 98642-7826

Call (360) 643-9217 Map

Fax (503) 678-9751

Other practice locations

  • 1104 Main St Ste 550G, Vancouver, WA 98660-2955 · (855) 583-2842

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMC60704526 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1669919148

Patrice Alana Jacob, PhD's National Provider Identifier is 1669919148, issued on Jan 23, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ridgefield, WA. The record was last updated on Jun 4, 2020.