Alan Jacob, L.P.C

NPI 1710255336 · on the registry since 2011 · sole proprietor

Practice

Address: 1355 N University Ave
Suite 200
Provo, UT 84604
Phone: (801) 221-0223
Fax: (801) 221-0291
Organisation at this address: Ashman Dental L.L.C.
Provo Dental Care Llc
Garr Foot & Ankle Pllc
Ihc Health Services Inc
Steven K. Flick Dmd, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 38

Registry record

Primary taxonomy: Mental Health Counselor
101YM0800X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-12-09

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 Utah