DR. Patrice Alana Jacob, PH.D.
NPI #1669919148 in Ridgefield, Washington
Provider Information
- NPI Number
- 1669919148
- Entity Type
- Individual
- Name
- DR. Patrice Alana Jacob, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- PH.D.
- Enumeration Date
- Jan 23, 2017
- Last Updated
- Jun 4, 2020
Practice Location
- Address
- 1361 S 15TH WAY
- City
- Ridgefield
- State
- Washington
- ZIP Code
- 98642-7826
- Phone
- (360) 643-9217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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