PATRICE ALANA JACOB

RIDGEFIELD, WA
NPI1669919148
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  MC60704526)
Enumeration Date2017-01-23
Last Update Date2020-06-04
Business Address
Dr. PATRICE ALANA JACOB Ph.D.
1361 S 15TH WAY
RIDGEFIELD, WA 98642-7826
Phone number: 360-643-9217
Mailing Address
Dr. PATRICE ALANA JACOB Ph.D.
1361 S 15TH WAY
RIDGEFIELD, WA 98642-7826
Phone number: 360-643-9217