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Carly Jacobs, AUD

NPI 1215607585 · on the registry since 2021

Practice

Address
441 S Independence Blvd Ste 1
Virginia Beach, VA 23452
Phone
(757) 304-8445
Fax
(757) 568-7634
Clinicians at this address
2

Registry record

Primary taxonomy
231H00000X
231H00000X
Also registered as
231H00000X
Licence states on file
TN, VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-31

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 Virginia