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1316784812
JACOB UNDERWOOD
COLORADO SPRINGS, CO
NPI
1316784812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO LPCC.0020975)
Enumeration Date
2024-07-11
Last Update Date
2024-07-11
Business Address
JACOB UNDERWOOD MS, LPCC
1702 E PIKES PEAK AVE
COLORADO SPRINGS, CO 80909-5717
Phone number: 719-344-9483
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Mailing Address
JACOB UNDERWOOD MS, LPCC
1828 RALPHS RDG APT 205
COLORADO SPRINGS, CO 80910-4409
Phone number: 615-582-3754
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