Robert Stephen Jacobs in Centreville - Mental Health
Robert Stephen Jacobs - NPI 1811187321
Robert Stephen Jacobs is a Mental Health in Centreville, Illinois. Robert Stephen Jacobs practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Robert Stephen Jacobs is 1811187321. The last update date is 2009-10-29.
Robert Stephen Jacobs's current location address is 353 N 88th St, Centreville, Illinois. You can contact this provider via phone number 6183981152 and fax number 6183986977. The mailing address for Robert Stephen Jacobs is 353 N 88th St, Centreville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Stephen Jacobs |
|---|---|
| Address | 353 N 88th St, Centreville, Illinois |
| Phone Number | 6183981152 |
| Fax Number | 6183986977 |
| Sole Proprietor | N |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1811187321 |
|---|---|
| Provider Enumeration Date | 2007-07-31 |
| Last Updated Date | 2009-10-29 |
Provider Mailing Address Detail
| Address | 353 N 88th St |
|---|---|
| City | Centreville |
| State | Illinois (IL) |
| Post Code | 622032705 |
| Phone Number | 6183981152 |
| Fax Number | 6183986977 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 180.002371 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code assigned to Robert Stephen Jacobs by the Centers for Medicare & Medicaid Services?
The Robert Stephen Jacobs has been issued the NPI (National Provider Identifier) 1811187321, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Robert Stephen Jacobs's facilities are geographically located?
The facilities of Robert Stephen Jacobs are physically situated at the following location: 353 N 88Th St, Centreville, IL, 622032705.
What is the area of specialization for Robert Stephen Jacobs, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Robert Stephen Jacobs is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did the Robert Stephen Jacobs receive its 1811187321 assignment from the Centers for Medicare & Medicaid Services?
The Robert Stephen Jacobs was assigned its 1811187321 by the Centers for Medicare & Medicaid Services on 2007-07-31.
As of what date was the information regarding Robert Stephen Jacobs, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert Stephen Jacobs, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-10-29.