| NPI | 1508317538 |
|---|---|
| Professional Name | PAUL JACOBS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109072) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801099473) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2022-04-06 |