NPI Profile for DOLORES P JACOBY in PORT TOWNSEND, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1336667922 |
|
| Status | Active | |
| Credentials | M.S.W., D. DIV,PH.D. | |
| Entity | Individual | |
| Enumeration date | 09/02/2017 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DOLORES P JACOBY
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