Jacob Bol

NPI 1467079350 · on the registry since 2020 · sole proprietor

Practice

Address: 100 Cherry St Se
Grand Rapids, MI 49503
Phone: (616) 965-8200
Organisation at this address: Cherry Health
Heart Of The City
Cherry Street Services Inc
Cherry Street Services Inc
Cherry Street Services, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 206

Registry record

Primary taxonomy: Social Worker
104100000X
Also registered as: Behavior Technician
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-02-24

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 Michigan