person
Mr. Brian Phillip Jacoby I, MA
Mental Health Counselor in Portland, Oregon
NPI 1144536020

Brian Phillip Jacoby I is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Brian Phillip Jacoby I practices in Portland, OR and has the professional credentials of MA. The NPI Number for Brian Phillip Jacoby I is 1144536020 and holds a License No. C3747 (Oregon).

The current practice location address for Brian Phillip Jacoby I is 847 Ne 19Th Ave Ste 100, Portland, OR and can be reached out via phone at 979-275-7895.

Location: 847 Ne 19Th Ave Ste 100, Portland, OR, 97207-8459
person
Provider Profile Details
NPI Number
1144536020
Provider Name
Brian Phillip Jacoby I
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
847 Ne 19Th Ave Ste 100, Portland, OR, 97207-8459
Phone Number
979-275-7895
Fax Number
Provider Enumeration Date
08/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
847 Ne 19Th Ave Ste 100
City
State
Zip
97232-2684
Phone Number
979-275-7895
Fax Number
person
Provider Business Mailing Address Details
Address
847 Ne 19Th Ave Ste 100
City
State
Zip
97232-2684
Phone Number
979-275-7895
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C3747 (Oregon)
Definition
Definition to come...
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