Search › Louisiana › 1041C0700X
Brenna Jacob, LCSW-BACS
NPI 1992242036 · on the registry since 2017
Practice
- Address
- 3601 Gerstner Memorial Blvd
Lake Charles, LA 70607 - Phone
- (337) 475-9600
- Fax
- (337) 475-9699
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-06
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 Louisiana