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Samantha Jacobs
Mental Health Counselor in Lake Grove, New York
NPI 1407422462

Samantha Jacobs is a Mental Health Counselor based in Lake Grove, NY and is specialized in Mental Health. Samantha Jacobs practices in Lake Grove, NY. The NPI Number for Samantha Jacobs is 1407422462 and holds a License No. (New York).

The current practice location address for Samantha Jacobs is 26 Twisting Dr, Lake Grove, NY and can be reached out via phone at 631-988-3890.

Location: 26 Twisting Dr, Lake Grove, NY, 11755-1824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407422462
Provider Name
Samantha Jacobs
Credential
Provider Entity Type
Individual
Gender
Female
Address
26 Twisting Dr, Lake Grove, NY, 11755-1824
Phone Number
631-988-3890
Fax Number
Provider Enumeration Date
06/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26 Twisting Dr
City
Lake Grove
State
New York
Zip
11755-1824
Phone Number
631-988-3890
Fax Number
person
Provider Business Mailing Address Details
Address
26 Twisting Dr
City
Lake Grove
State
New York
Zip
11755-1824
Phone Number
631-988-3890
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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