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Carol Jacob, MA, LMHC

NPI 1205015914 · on the registry since 2007 · sole proprietor

Practice

Address
1129 W Main St
Suite 194
Monroe, WA 98272
Phone
(206) 617-1574
Organisation at this address
Linda Backenstose Ps Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington