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1356040893
REBECCA JACOBS
LOUISVILLE, KY
NPI
1356040893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 281080)
Enumeration Date
2023-02-23
Last Update Date
2023-02-23
Business Address
REBECCA JACOBS
2802 HIKES LN
LOUISVILLE, KY 40218-1608
Phone number: 502-712-3119
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Mailing Address
REBECCA JACOBS
PO BOX 32144
LOUISVILLE, KY 40232-2144
Phone number: 502-712-3119
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