Jacobs, James Leland
Jacobs, James Leland is an individual health care provider with primary practice located at 123 Mudget Hill Rd , Vassalboro ME 04989-4305. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jacobs, James Leland can be contacted via phone (207) 445-4756.Contact Information
Primary practice address
123 Mudget Hill Rd
Vassalboro ME 04989-4305
Phone: (207) 445-4756
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PS600 | Maine |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PS600 | Maine |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | PS600 | Maine |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS600 | Maine |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS600 | Maine |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | PS600 | Maine |
Profile Details
| NPI number | 1588713978 |
|---|---|
| LBN Legal business name | Jacobs, James Leland |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 17th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588713978 | NPPES |
| Maine | MEDICAID | 143490000 |
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