person
Shoba Jacob
Professional Counselor in Dalton, Georgia
NPI 1407583008

Shoba Jacob is a Professional Counselor based in Dalton, GA and is specialized in Professional. Shoba Jacob practices in Dalton, GA. The NPI Number for Shoba Jacob is 1407583008 and holds a License No. (Georgia).

The current practice location address for Shoba Jacob is 310 N Selvidge St, Dalton, GA and can be reached out via phone at 706-313-5677.

Location: 310 N Selvidge St, Dalton, GA, 30722-6359
person
Provider Profile Details
NPI Number
1407583008
Provider Name
Shoba Jacob
Credential
Provider Entity Type
Individual
Gender
Female
Address
310 N Selvidge St, Dalton, GA, 30722-6359
Phone Number
706-313-5677
Fax Number
Provider Enumeration Date
08/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
310 N Selvidge St
City
State
Zip
30720-3145
Phone Number
706-313-5677
Fax Number
person
Provider Business Mailing Address Details
Address
310 N Selvidge St
City
State
Zip
30720-3145
Phone Number
706-313-5677
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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