Search › North Carolina › 1041C0700X
Jacobe Douglas, MSA, CCM, LCSWA
NPI 1649148305 · on the registry since 2025 · sole proprietor
Practice
- Address
- 104 Cone Dr Unit 351
Haw River, NC 27258 - Phone
- (201) 819-1473
- Fax
- (336) 217-8532
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-24
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 North Carolina