Jacobia, Jason Carl
Jacobia, Jason Carl is an individual health care provider with primary practice located at 1169 Call Creek Place Suite B, Pocatello ID 83201-3071. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jacobia, Jason Carl can be contacted via phone (208) 232-7780.Contact Information
Primary practice address
1169 Call Creek Place Suite B
Pocatello ID 83201-3071
Phone: (208) 232-7780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW27236 | Idaho |
Profile Details
| NPI number | 1467501940 |
|---|---|
| LBN Legal business name | Jacobia, Jason Carl |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 20th, 2011 - about 13 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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