DR. Ed Jacobs, PHD

NPI #1831310473 in Star City, West Virginia

Provider Information

NPI Number: 1831310473
Entity Type: Individual
Name: DR. Ed Jacobs, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: PHD
Enumeration Date: May 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 457 BROADWAY AVE
City: Star City
State: West Virginia
ZIP Code: 26505
Phone: (304) 599-0109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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