Jacob Fancher

NPI #1104461367 in Edmonton, Kentucky

Provider Information

NPI Number: 1104461367
Entity Type: Individual
Name: Jacob Fancher
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Rehabilitation Counselor
Enumeration Date: Nov 12, 2019
Last Updated: Nov 12, 2019

Practice Location

Address: 112 SARTIN DR
City: Edmonton
State: Kentucky
ZIP Code: 42129-8170
Phone: (270) 901-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Counselor	225C00000X	Primary

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