Jacoby, Dolores P,

Jacoby, Dolores P, is an sole proprietor health care provider with primary practice located at 716 Van Buren St , Port Townsend WA 98368-8051. She 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 / Pastoral. Behavioral Health & Social Service Providers / Pastoral is her primary health care specialty. Jacoby, Dolores P, can be contacted via phone (561) 385-8420.

Contact Information

Primary practice address
716 Van Buren St Port Townsend WA 98368-8051
Phone: (561) 385-8420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 604151293 Washington
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 604151293

Profile Details

NPI number 1336667922
LBN Legal business name Jacoby, Dolores P,
Credentials M.S.W., D. DIV,PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2017
Last updated Jul 21st, 2022 - about 3 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 1336667922 NPPES
Washington Other 604151293 TRIWEST, VETERAN'S ADMINISTRATION
Washington Other 604151293 TRIWEST, VETERAN'S ADMINISTRATION

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