Tracie Jacobs is a Counselor in South Bend, Indiana. Tracie Jacobs practices all healthcare services and medical treatments related to Counselor. The NPI Number for Tracie Jacobs is 1093845083. The last update date is 2007-07-08.
Tracie Jacobs's current location address is 403 E Madison St, South Bend, Indiana. You can contact this provider via phone number 5742831107 and fax number 5842831131. The mailing address for Tracie Jacobs is 403 E Madison St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracie Jacobs |
|---|---|
| Address | 403 E Madison St, South Bend, Indiana |
| Phone Number | 5742831107 |
| Fax Number | 5842831131 |
| Sole Proprietor | N |
| Credentials | MA |
NPI Number Detail
| NPI Number | 1093845083 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 403 E Madison St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466172322 |
| Phone Number | 5742831107 |
| Fax Number | 5842831131 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the unique identifier code issued to Tracie Jacobs by the Centers for Medicare & Medicaid Services (CMS)?
The Tracie Jacobs has been assigned the NPI (National Provider Identifier) 1093845083. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Tracie Jacobs?
The Tracie Jacobs is situated at 403 E Madison St, in the city of South Bend, state of IN, with the zip code 466172322.
What is Tracie Jacobs's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tracie Jacobs is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.
On what date was the 1093845083 assigned to Tracie Jacobs?
The Tracie Jacobs was issued its 1093845083 on 2007-03-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Tracie Jacobs, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tracie Jacobs, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.