Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PATRICE ALANA JACOB, PH.D.
Active Sole ProprietorDR. PATRICE ALANA JACOB, PH.D. is a Mental Health Counselor healthcare provider located in RIDGEFIELD, Washington. NPI 1669919148 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · RIDGEFIELD, WA
Registration Details
- NPI Number
- 1669919148
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2017 (9.3712192071264 yrs)
- Last Updated
- Jun 4, 2020
- License
-
MC60704526 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1361 S 15TH WAYRIDGEFIELD, WA, 986427826Browse WA providers · Browse ZIP 98642
- Phone
- 3606439217
- Fax
- 5036789751
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in RIDGEFIELD, WA
| Name | Credential | NPI |
|---|---|---|
| MRS. ERICA DAWN MATTERS | LMHC | 1497814586 |
| MRS. LINDA LINNEA GOODE MILLER | MA, LMHC | 1164836284 |
| MRS. SAMANTHA CHRISTINE CUNNINGHAM | LMHC, LPC | 1841697604 |
| NICOLE HAGERTY | MA, LMHC | 1376915306 |
| KIMBERLEE LUNDGREN | — | 1962938241 |
| KATHRYN SAUER | — | 1992362727 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.