Individual provider · Type 1 NPI

Alan R. Jacob, L.P.C.

Mental Health Counselor · Provo, UT

NPI number 1710255336 Active

Practice location

1355 N University Ave, Suite 200
Provo, UT 84604-2721

Call (801) 221-0223 Map

Fax (801) 221-0291

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6740945-6009 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1710255336

Alan R. Jacob, L.P.C.'s National Provider Identifier is 1710255336, issued on Dec 9, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Provo, UT. The record was last updated on Dec 9, 2011.