MIKEL ALEXANDER JACOBO

EUGENE, OR
NPI1699659409
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  25-QMHA-I-004910)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
(Licence: OR  25-QMHA-I-004910)
Enumeration Date2025-08-04
Last Update Date2025-08-04
Business Address
MIKEL ALEXANDER JACOBO QMHA
770 E 11TH AVE FL 2
EUGENE, OR 97401-3746
Phone number: 458-205-7085
Mailing Address
MIKEL ALEXANDER JACOBO QMHA
1160 W 15TH AVE APT 207
EUGENE, OR 97402-3910
Phone number: 909-319-2978