person
Bryan E. Jacob
Mental Health Counselor in Columbia, Illinois
NPI 1972663912

Bryan E. Jacob is a Mental Health Counselor based in Columbia, IL and is specialized in Mental Health. Bryan E. Jacob practices in Columbia, IL. The NPI Number for Bryan E. Jacob is 1972663912 and holds a License No. 2006000792 (Illinois).

The current practice location address for Bryan E. Jacob is 1007 N Main St, Columbia, IL and can be reached out via phone at 618-281-3100.

Location: 1007 N Main St, Columbia, IL, 62236-1113
person
Provider Profile Details
NPI Number
1972663912
Provider Name
Bryan E. Jacob
Credential
Provider Entity Type
Individual
Gender
Male
Address
1007 N Main St, Columbia, IL, 62236-1113
Phone Number
618-281-3100
Fax Number
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1007 N Main St
City
State
Zip
62236-1113
Phone Number
618-281-3100
Fax Number
person
Provider Business Mailing Address Details
Address
1007 N Main St
City
State
Zip
62236-1113
Phone Number
618-281-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2006000792 (Missouri)
Definition
Definition to come...
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