MR. Fred Jacoby JR., M.A.
NPI #1578097051 in Brodheadsville, Pennsylvania
Provider Information
- NPI Number
- 1578097051
- Entity Type
- Individual
- Name
- MR. Fred Jacoby JR., M.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- M.A.
- Enumeration Date
- Apr 12, 2017
- Last Updated
- Apr 12, 2017
Practice Location
- Address
- 1546 ROUTE 209
- Address 2
- STE 106
- City
- Brodheadsville
- State
- Pennsylvania
- ZIP Code
- 18322-7142
- Phone
- (570) 402-5088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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