SearchTexas171100000X

Jordan Jacobs, LAC, MACOM

NPI 1265943997 · on the registry since 2017 · sole proprietor

Practice

Address
10402 Lakeside Dr
Jonestown, TX 78645
Phone
(512) 337-2588

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-10-20

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 Texas