ANDRES ALBERTO JACOBO

GRANTS PASS, OR
NPI1740754522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-01-15
Last Update Date2019-01-15
Business Address
ANDRES ALBERTO JACOBO
1181 SW RAMSEY AVE
GRANTS PASS, OR 97527-5835
Phone number: 541-476-2373
Mailing Address
ANDRES ALBERTO JACOBO
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373