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Jacob Anderson, LLC
Counselor in Pontiac, Michigan
NPI 1164198693

Jacob Anderson is a Counselor based in Pontiac, MI. Jacob Anderson practices in Pontiac, MI and has the professional credentials of LLC. The NPI Number for Jacob Anderson is 1164198693 and holds a License No. C.2103322-TRNE (Michigan).

The current practice location address for Jacob Anderson is 114 Orchard Lake Rd, Pontiac, MI and can be reached out via phone at 248-858-7766.

Location: 114 Orchard Lake Rd, Pontiac, MI, 48341-2244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164198693
Provider Name
Jacob Anderson
Credential
LLC
Provider Entity Type
Individual
Gender
Male
Address
114 Orchard Lake Rd, Pontiac, MI, 48341-2244
Phone Number
248-858-7766
Fax Number
Provider Enumeration Date
08/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
114 Orchard Lake Rd
City
Pontiac
State
Michigan
Zip
48341-2244
Phone Number
248-858-7766
Fax Number
person
Provider Business Mailing Address Details
Address
114 Orchard Lake Rd
City
Pontiac
State
Michigan
Zip
48341-2244
Phone Number
248-858-7766
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
C.2103322-TRNE (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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