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Contact Information

DOLORES P JACOBY, M.S.W., D. DIV,PH.D.
716 VAN BUREN ST
PORT TOWNSEND, WA98368-8051
 Phone: 561-385-8420
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DOLORES P JACOBY · (Female)

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
  • License # 604151293
  • WA License # 604151293
  • WA Other 604151293 TRIWEST, VETERAN'S ADMINISTRATION
  • WA Other 604151293 VETERAN'S ADMINISTRATION
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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