Bryan E. Jacob
Bryan E. Jacob is a Mental Health Counselor in Columbia, Illinois. Practices as a sole proprietor. Licensed in Illinois and Missouri.
- Licensed in
- IL, MO
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1007 N Main StColumbia, IL 62236-1113
Phone: (618) 281-3100
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (IL) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 2006000792 (MO) |
Record details
| NPI number | 1972663912 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 11, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1007 N Main St, Columbia, IL 62236-1113 |
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