Carol Joy Jacob is a Mental Health in Bothell, Washington. Carol Joy Jacob practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Carol Joy Jacob is 1205015914. The last update date is 2007-10-30.
Carol Joy Jacob's current location address is 3307 174th Pl Se, Bothell, Washington. You can contact this provider via phone number 4254879369. The mailing address for Carol Joy Jacob is 3307 174th Pl Se, Bothell, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Joy Jacob |
|---|---|
| Address | 3307 174th Pl Se, Bothell, Washington |
| Phone Number | 4254879369 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA, LMHC |
NPI Number Detail
| NPI Number | 1205015914 |
|---|---|
| Provider Enumeration Date | 2007-10-30 |
| Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
| Address | 3307 174th Pl Se |
|---|---|
| City | Bothell |
| State | Washington (WA) |
| Post Code | 980128532 |
| Phone Number | 4254879369 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LH00010383 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the Carol Joy Jacob's unique identification number?
The Carol Joy Jacob has been assigned the NPI (National Provider Identifier) Number 1205015914 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Carol Joy Jacob is physically located?
The Carol Joy Jacob is physically situated at the following address: 3307 174Th Pl Se, Bothell, WA, 980128532.
What is Carol Joy Jacob's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carol Joy Jacob's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date did the Carol Joy Jacob receive its 1205015914 assignment from the Centers for Medicare & Medicaid Services?
The Carol Joy Jacob was assigned its 1205015914 by the Centers for Medicare & Medicaid Services on 2007-10-30.
As of what date were the details pertaining to Carol Joy Jacob last refreshed?
The information related to the Carol Joy Jacob, including its address, specialty, and other relevant details, was last updated on 2007-10-30.