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Dr. Ed Jacobs, PHD
Counselor in Star City, West Virginia
NPI 1831310473

Ed Jacobs is a Counselor based in Star City, WV. Ed Jacobs practices in Star City, WV and has the professional credentials of PHD. The NPI Number for Ed Jacobs is 1831310473 and holds a License No. 650 (West Virginia).

The current practice location address for Ed Jacobs is 457 Broadway Ave, Star City, WV and can be reached out via phone at 304-599-0109 and via fax at 304-599-6683. You can also correspond with Ed Jacobs through the mailing address at 457 BROADWAY AVE, STAR CITY, WV - 26505 (mailing address contact number: 304-599-0109).

Location: 457 Broadway Ave, Star City, WV, 26505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831310473
Provider Name
Ed Jacobs
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
457 Broadway Ave, Star City, WV, 26505
Phone Number
304-599-0109
Fax Number
304-599-6683
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
457 Broadway Ave
City
Star City
State
West Virginia
Zip
26505
Phone Number
304-599-0109
Fax Number
304-599-6683
person
Provider Business Mailing Address Details
Address
457 Broadway Ave
City
Star City
State
West Virginia
Zip
26505
Phone Number
304-599-0109
Fax Number
304-599-6683
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
650 (West Virginia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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