ALAN R JACOB

PROVO, UT
NPI1710255336
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: UT  6740945-6009)
Enumeration Date2011-12-09
Last Update Date2011-12-09
Business Address
ALAN R JACOB L.P.C.
1355 N UNIVERSITY AVE SUITE 200
PROVO, UT 84604-2721
Phone number: 801-221-0223
Mailing Address
ALAN R JACOB L.P.C.
1355 N UNIVERSITY AVE SUITE 200
PROVO, UT 84604-2721
Phone number: 801-221-0223
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