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Contact Information

JACOB M BOUNDS, MSW, LGSW
1109 JEFFERSON RD STE C
SOUTH CHARLESTON, WV25309-8815
 Phone: 877-338-2725
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JACOB M BOUNDS · (Male)

NPI Number 1154921799
Status Active
Credentials MSW, LGSW
Entity Individual
Enumeration date 10/30/2020
Last updated 02/01/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • WV License # BP00945821
  • WV License # SW062015550
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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