JUSTIN JACOBS

CLACKAMAS, OR
NPI1801522420
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: OR  R272)
Additional Taxonomies101YM0800X Counselor Mental Health
103TC0700X Psychologist Clinical
(Licence: OR  R272)
171M00000X Case Manager/Care Coordinator
Enumeration Date2022-07-26
Last Update Date2024-11-29
Business Address
JUSTIN JACOBS
10151 SE SUNNYSIDE RD STE 480
CLACKAMAS, OR 97015-5705
Phone number: 971-915-0046
Mailing Address
JUSTIN JACOBS
10151 SE SUNNYSIDE RD STE 480
CLACKAMAS, OR 97015-5705
Phone number: 971-915-0046