Jacobs, Scott C.

Jacobs, Scott C. is an individual health care provider with primary practice located at 3601 4Th St , Lubbock TX 79430-0002. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Jacobs, Scott C. can be contacted via phone (806) 743-2981.

Contact Information

Primary practice address
3601 4Th St Lubbock TX 79430-0002
Phone: (806) 743-2981
Fax: (806) 743-2984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 14382 Texas

Profile Details

NPI number 1477559177
LBN Legal business name Jacobs, Scott C.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 9th, 2007 - about 19 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 1477559177 NPPES
New Mexico MEDICAID 80534
New Mexico Other 84333Z
New Mexico Other 80534
New Mexico Other 82938L
New Mexico Other A463

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