Individual provider · Type 1 NPI
Juliet Jacob
Mental Health Counselor · Bridgeport, CT
NPI number
1992185102
Active
Practice location
3250 Fairfield Ave Apt 317
Bridgeport, CT 06605-3273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1992185102
Juliet Jacob's National Provider Identifier is 1992185102, issued on Jun 2, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bridgeport, CT. The record was last updated on Jun 2, 2015.