Bounds, Jacob M

Bounds, Jacob M is an sole proprietor health care provider with primary practice located at 1109 Jefferson Rd Ste C , South Charleston WV 25309-8815. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bounds, Jacob M can be contacted via phone (877) 338-2725.

Contact Information

Primary practice address
1109 Jefferson Rd Ste C South Charleston WV 25309-8815
Phone: (877) 338-2725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW062015550 West Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X BP00945821 West Virginia

Profile Details

NPI number 1154921799
LBN Legal business name Bounds, Jacob M
Credentials MSW, LGSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2020
Last updated Feb 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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