Individual provider · Type 1 NPI
Mikel Alexander Jacobo, QMHA
Mental Health Counselor · Eugene, OR
NPI number
1699659409
Active
Practice location
770 E 11th Ave Fl 2
Eugene, OR 97401-3746
Fax (458) 205-7089
Mailing address
1160 W 15th Ave Apt 207
Eugene, OR 97402-3910
Other practice locations
- 1200 Hilyard St Ste 310, Eugene, OR 97401-8122 · (458) 205-6709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 25-QMHA-I-004910 (OR) |
| Mental Health Counselor Primary | 101YM0800X | 25-QMHA-I-004910 (OR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1699659409
Mikel Alexander Jacobo, QMHA's National Provider Identifier is 1699659409, issued on Aug 4, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Sep 3, 2026.