Active NPIIndividual provider

Mallory Jacob

Counselor, Mental Health in Egg Harbor Township, New Jersey

NPI Number1568056059
Practice location
6010 Black Horse Pike, Egg Harbor Township, NJ 08234-9752
Fax
609-383-2868
Last updated
February 24, 2021

Mallory Jacob is a Counselor, Mental Health based in Egg Harbor Township, NJ. Mallory Jacob practices in Egg Harbor Township, NJ. The NPI Number for Mallory Jacob is 1568056059. The current practice location address for Mallory Jacob is 6010 Black Horse Pike, Egg Harbor Township, NJ 08234-9752 and can be reached out via phone at 609-272-0909 and via fax at 609-383-2868.

Provider Profile Details

NPI Number
1568056059
Provider Name
Mallory Jacob
Provider Entity Type
Individual
Gender
Female
Address
6010 Black Horse Pike, Egg Harbor Township, NJ 08234-9752
Phone Number
609-272-0909
Fax Number
609-383-2868
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
February 24, 2021
Last Update Date
February 24, 2021
Certification Date
February 24, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
6010 Black Horse Pike
Egg Harbor Township, NJ 08234-9752
Zip
08234-9752
Phone Number
609-272-0909
Fax Number
609-383-2868
Egg Harbor Township, NJ 08234Get directions →

Provider Business Mailing Address Details

Address
6550 Delilah RD Ste 301
Egg Harbor Township, NJ 08234-5102
City
Egg Harbor Township
State
NJ
Zip
08234-5102
Phone Number
609-272-8580
Fax Number
609-383-2868

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mallory Jacob?

The NPI number of Mallory Jacob is 1568056059. It was assigned on February 24, 2021 and is currently active in the NPPES registry.

What is the specialty of Mallory Jacob?

Mallory Jacob is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Mallory Jacob practice?

The practice location is 6010 Black Horse Pike, Egg Harbor Township, NJ 08234-9752. The office can be reached at 609-272-0909 (phone) or 609-383-2868 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568056059 directly on the NPPES registry website.

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