Individual provider · Type 1 NPI

Eric Jacobs-Nicholls

Mental Health Counselor · Bend, OR

NPI number 1730819384 Active

Practice location

63311 Jamison St
Bend, OR 97703-8288

Fax (541) 322-7565

Mailing address

2577 NE Courtney Drive
Bend, OR 97701-7638

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730819384

Eric Jacobs-Nicholls's National Provider Identifier is 1730819384, issued on Jun 15, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Jun 15, 2022.