BRIAN PHILLIP JACOBY

PORTLAND, OR
NPI1144536020
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OR  C3747)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2010-08-30
Last Update Date2016-02-19
Business Address
Mr. BRIAN PHILLIP JACOBY MA
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 979-275-7895
Mailing Address
Mr. BRIAN PHILLIP JACOBY MA
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 979-275-7895