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John David Jacobson, LPC
Professional Counselor in San Antonio, Texas
NPI 1699255760

John David Jacobson is a Professional Counselor based in San Antonio, TX and is specialized in Professional. John David Jacobson practices in San Antonio, TX and has the professional credentials of LPC. The NPI Number for John David Jacobson is 1699255760 and holds a License No. 76219 (Texas).

The current practice location address for John David Jacobson is 6025 Fountainwood St, San Antonio, TX and can be reached out via phone at 210-494-3415.

Location: 6025 Fountainwood St, San Antonio, TX, 78231-2413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699255760
Provider Name
John David Jacobson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
6025 Fountainwood St, San Antonio, TX, 78231-2413
Phone Number
210-494-3415
Fax Number
Provider Enumeration Date
08/18/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
76219 01 LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
6025 Fountainwood St
City
San Antonio
State
Texas
Zip
78233-4417
Phone Number
210-494-3415
Fax Number
person
Provider Business Mailing Address Details
Address
6025 Fountainwood St
City
San Antonio
State
Texas
Zip
78233-4417
Phone Number
210-494-3415
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
76219 (Texas)
Definition
Definition to come...
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