Jerome Robert Ebacher, LCSW

NPI #1952773640 in Lehigh Acres, Florida

Provider Information

NPI Number
1952773640
Entity Type
Individual
Name
Jerome Robert Ebacher, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Oct 21, 2015
Last Updated
Oct 21, 2015

Practice Location

Address
826 GRENADA AVE
State
Florida
ZIP Code
33974
Phone
(218) 391-5158

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Social Worker - ClinicalClinical

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