Cohen, Jacob Daniel

Cohen, Jacob Daniel is an sole proprietor health care provider with primary practice located at 2019 Galisteo St Suite M-2, Santa Fe NM 87505-2143. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Cohen, Jacob Daniel can be contacted via phone (505) 984-8431.

Contact Information

Primary practice address
2019 Galisteo St Suite M-2 Santa Fe NM 87505-2143
Phone: (505) 984-8431
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPCC 1796 New Mexico
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT 1795 New Mexico

Profile Details

NPI number 1720154693
LBN Legal business name Cohen, Jacob Daniel
Credentials MS, LPCC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720154693 NPPES
New Mexico Other 1007163 LOVELACE
New Mexico Other 04724 LOVELACE

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