Jacobs, Cynthia Campbell

Jacobs, Cynthia Campbell is an individual health care provider with primary practice located at 215 Bracken St , Sanford NC 27330-3925. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jacobs, Cynthia Campbell can be contacted via phone (919) 777-3350.

Contact Information

Primary practice address
215 Bracken St Sanford NC 27330-3925
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4891 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4891 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 4891 North Carolina

Profile Details

NPI number 1992906770
LBN Legal business name Jacobs, Cynthia Campbell
Credentials M.S. CRC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Apr 28th, 2018 - about 6 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 1992906770 NPPES
North Carolina MEDICAID 6103608

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