DR. PATRICE JACOB, PH.D.

Counselor - Mental Health

Active Individual
NPI: 1669919148

Practice Address

1361 S 15TH WAY
Ridgefield, WA 98642

Phone: (360) 643-9217

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes MC60704526 (WA)

Frequently Asked Questions

NPI 1669919148 is the National Provider Identifier for DR. PATRICE JACOB, PH.D., a Counselor - Mental Health provider located in Ridgefield, WA. This NPI was enumerated on January 23, 2017.
DR. PATRICE JACOB, PH.D. practices at 1361 S 15TH WAY, Ridgefield, WA 98642.

Quick Facts

NPI
1669919148
Type
Individual
Enumerated
Jan 23, 2017
Last Updated
Jun 4, 2020

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