person
Alan R Jacob, LPC
Mental Health Counselor in Provo, Utah
NPI 1710255336

Alan R Jacob is a Mental Health Counselor based in Provo, UT and is specialized in Mental Health. Alan R Jacob practices in Provo, UT and has the professional credentials of LPC. The NPI Number for Alan R Jacob is 1710255336 and holds a License No. 6740945-6009 (Utah).

The current practice location address for Alan R Jacob is 1355 N University Ave, Provo, UT and can be reached out via phone at 801-221-0223 and via fax at 801-221-0291.

Location: 1355 N University Ave, Provo, UT, 84604-2721
person
Provider Profile Details
NPI Number
1710255336
Provider Name
Alan R Jacob
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1355 N University Ave, Provo, UT, 84604-2721
Phone Number
801-221-0223
Fax Number
801-221-0291
Provider Enumeration Date
12/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1355 N University Ave
City
State
Zip
84604-2721
Phone Number
801-221-0223
Fax Number
801-221-0291
person
Provider Business Mailing Address Details
Address
1355 N University Ave
City
State
Zip
84604-2721
Phone Number
801-221-0223
Fax Number
801-221-0291
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6740945-6009 (Utah)
Definition
Definition to come...
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