person
Dr. Patrice Alana Jacob, PHD
Mental Health Counselor in Ridgefield, Washington
NPI 1669919148

Patrice Alana Jacob is a Mental Health Counselor based in Ridgefield, WA and is specialized in Mental Health. Patrice Alana Jacob practices in Ridgefield, WA and has the professional credentials of PHD. The NPI Number for Patrice Alana Jacob is 1669919148 and holds a License No. MC60704526 (Washington).

The current practice location address for Patrice Alana Jacob is 1361 S 15Th Way, Ridgefield, WA and can be reached out via phone at 360-643-9217 and via fax at 503-678-9751.

Location: 1361 S 15Th Way, Ridgefield, WA, 98642-7826
person
Provider Profile Details
NPI Number
1669919148
Provider Name
Patrice Alana Jacob
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1361 S 15Th Way, Ridgefield, WA, 98642-7826
Phone Number
360-643-9217
Fax Number
503-678-9751
Provider Enumeration Date
01/23/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2082041 05 WA
institution
Provider Business Practice Location Address Details
Address
1361 S 15Th Way
City
State
Zip
98642-7826
Phone Number
360-643-9217
Fax Number
503-678-9751
person
Provider Business Mailing Address Details
Address
1361 S 15Th Way
City
State
Zip
98642-7826
Phone Number
360-643-9217
Fax Number
503-678-9751
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MC60704526 (Washington)
Definition
Definition to come...
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