person
Mrs. Lillie Marie Jacobs, LCSW
Mental Health Counselor in Charlotte, North Carolina
NPI 1750332540

Lillie Marie Jacobs is a Mental Health Counselor based in Charlotte, NC and is specialized in Mental Health. Lillie Marie Jacobs practices in Charlotte, NC and has the professional credentials of LCSW. The NPI Number for Lillie Marie Jacobs is 1750332540 and holds a License No. C002751 (North Carolina).

The current practice location address for Lillie Marie Jacobs is 3125 Eastway Drive, Charlotte, NC and can be reached out via phone at 704-566-9437 and via fax at 704-566-9437. You can also correspond with Lillie Marie Jacobs through the mailing address at 3125 EASTWAY DRIVE, CHARLOTTE, NC - 28205 (mailing address contact number: 704-566-9437).

Location: 3125 Eastway Drive, Charlotte, NC, 28205
person
Provider Profile Details
NPI Number
1750332540
Provider Name
Lillie Marie Jacobs
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
3125 Eastway Drive, Charlotte, NC, 28205
Phone Number
704-566-9437
Fax Number
704-566-9437
Provider Enumeration Date
05/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13318 01 NC BLUE CROSS BLUE SHIELD
3077B1531 01 MEDCOST
026940 01 VMC BEHAVIORAL
555280 01 VALUE OPTIONS
QMXTR0029414 01 MENTAL HEALTH NETWORK
262210 01 COMP PSYCH
6002517 05 NC
institution
Provider Business Practice Location Address Details
Address
3125 Eastway Drive
City
State
Zip
28205
Phone Number
704-566-9437
Fax Number
704-566-9437
person
Provider Business Mailing Address Details
Address
3125 Eastway Drive
City
State
Zip
28205
Phone Number
704-566-9437
Fax Number
704-566-9437
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C002751 (North Carolina)
Definition
Definition to come...
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