CHARLES MARTIN JACOBY

LAKELAND, FL
NPI1043603145
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH10640)
Enumeration Date2015-03-12
Last Update Date2015-03-12
Business Address
Mr. CHARLES MARTIN JACOBY LMHC
315 E CARLISLE RD
LAKELAND, FL 33813-1613
Phone number: 863-412-6345
Mailing Address
Mr. CHARLES MARTIN JACOBY LMHC
315 E CARLISLE RD
LAKELAND, FL 33813-1613
Phone number: 863-412-6345