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Cecilia Jacobs, Psy.d., Llc
Community/Behavioral Health Agency in Fairborn, Ohio
NPI 1134392814

Cecilia Jacobs, Psy.d., Llc is a Community/Behavioral Health Agency based in Fairborn, OH. Cecilia Jacobs, Psy.d., Llc practices in Fairborn, OH. The NPI Number for Cecilia Jacobs, Psy.d., Llc is 1134392814 and holds a License No. 5332 (Ohio).

The current practice location address for Cecilia Jacobs, Psy.d., Llc is 2188 Gateway Dr, Fairborn, OH and can be reached out via phone at 937-320-5859 and via fax at 937-426-1349.

Location: 2188 Gateway Dr, Fairborn, OH, 45324-6356
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134392814
Provider Name
Cecilia Jacobs, Psy.d., Llc
Credential
Provider Entity Type
Organization
Address
2188 Gateway Dr, Fairborn, OH, 45324-6356
Phone Number
937-320-5859
Fax Number
937-426-1349
Provider Enumeration Date
04/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2188 Gateway Dr
City
Fairborn
State
Ohio
Zip
45324-6356
Phone Number
937-320-5859
Fax Number
937-426-1349
person
Provider Business Mailing Address Details
Address
2188 Gateway Dr
City
Fairborn
State
Ohio
Zip
45324-6356
Phone Number
937-320-5859
Fax Number
937-426-1349
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
5332 (Ohio)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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