Individual provider · Type 1 NPI

Elisabeth Janel Jacob

Professional Counselor · Prince Frederick, MD

NPI number 1912634023 Active

Practice location

975 Solomons Island Rd N Ste 119
Prince Frederick, MD 20678-3917

Fax (410) 535-2220

Mailing address

PO Box 980
Prince Frederick, MD 20678-0980

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1912634023

Elisabeth Janel Jacob's National Provider Identifier is 1912634023, issued on Aug 8, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Prince Frederick, MD. The record was last updated on Aug 8, 2022.