Mark Jacob, LCSW

NPI #1245285295 in Decatur, Alabama

Provider Information

NPI Number: 1245285295
Entity Type: Individual
Name: Mark Jacob, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 24, 2006
Last Updated: Jan 25, 2023

Practice Location

Address: 251 JOHNSTON ST SE STE 100
City: Decatur
State: Alabama
ZIP Code: 35601-2515
Phone: (256) 822-2375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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