Krystin Dale Jacobs, LMFT-A
Counselor, Mental Health in Monroe, NC. Individual provider (NPI-1).
NPI number1891447876
StatusActive
Last updated in NPPESJan 21, 2022
Details
- NPI
- 1891447876
- Entity type
- Individual (NPI-1)
- Name
- Ms. Krystin Dale Jacobs
- Credential
- LMFT-A
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 21, 2022
- Certification date
- Jan 21, 2022
- Last updated
- Jan 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 12332A | NC | Yes |
Practice location
202 N Stewart StMonroe, NC 28112-4767
Phone 704-904-7344
Mailing address
2025 Swaim DrMatthews, NC 28105-4015
Phone 704-904-7344
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