Jacob's Well Presbyterian Church
NPI #1124798970 in Green Bay, Wisconsin
Provider Information
- NPI Number
- 1124798970
- Entity Type
- Organization
- Organization Name
- Jacob's Well Presbyterian Church
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Sep 14, 2021
- Last Updated
- Sep 14, 2021
Practice Location
Authorized Official
- Name
- SPENCER REA HANSEN THOMAS, LPC, NCC
- Title
- EXECUTIVE DIRECTOR
- Phone
- (309) 532-2364
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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