Mikayla L Jacob
Social Worker, Clinical in Flower Mound, TX. Individual provider (NPI-1).
NPI number1649869751
StatusActive
Last updated in NPPESJan 13, 2021
Details
- NPI
- 1649869751
- Entity type
- Individual (NPI-1)
- Name
- Mikayla L Jacob
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 13, 2021
- Certification date
- Jan 13, 2021
- Last updated
- Jan 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 63481 | TX | Yes |
Practice location
2209 Apex DrFlower Mound, TX 75028-5694
Phone 972-743-2005
Mailing address
2209 Apex DrFlower Mound, TX 75028-5694
Phone 972-743-2005
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