person
Krystal Jacobus
Mental Health Counselor in Vancouver, Washington
NPI 1457710089

Krystal Jacobus is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Krystal Jacobus practices in Vancouver, WA. The NPI Number for Krystal Jacobus is 1457710089 and holds a License No. C6441 (Washington).

The current practice location address for Krystal Jacobus is 3200 Ne 109Th Ave, Vancouver, WA and can be reached out via phone at 360-695-1014 and via fax at 360-750-1374.

Location: 3200 Ne 109Th Ave, Vancouver, WA, 98682-7749
person
Provider Profile Details
NPI Number
1457710089
Provider Name
Krystal Jacobus
Credential
Provider Entity Type
Individual
Gender
Female
Address
3200 Ne 109Th Ave, Vancouver, WA, 98682-7749
Phone Number
360-695-1014
Fax Number
360-750-1374
Provider Enumeration Date
02/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3200 Ne 109Th Ave
City
State
Zip
98682-7749
Phone Number
360-695-1014
Fax Number
360-750-1374
person
Provider Business Mailing Address Details
Address
3200 Ne 109Th Ave
City
State
Zip
98682-7749
Phone Number
360-695-1014
Fax Number
360-750-1374
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LH60863847 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C6441 (Oregon)
Definition
Definition to come...
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