Jacobs, Jeryl
Jacobs, Jeryl is an individual health care provider with primary practice located at 709 Mill St The Alpha Center, Camden SC 29020-4738. 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jacobs, Jeryl can be contacted via phone (803) 432-6902.Contact Information
Primary practice address
709 Mill St The Alpha Center
Camden SC 29020-4738
Phone: (803) 432-6902
Fax: (803) 432-6890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1639590631 |
|---|---|
| LBN Legal business name | Jacobs, Jeryl |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2013 |
| Last updated | Dec 18th, 2013 - about 12 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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