| Amy M.jacobs, Llc | |
|
7807 E Funston St Wichita KS 67207-3123 | |
| (316) 636-1188 | |
| Not Available |
| Full Name | Amy M.jacobs, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7807 E Funston St, Wichita, Kansas |
| Authorized Official Name and Position | Amy M. Jacobs (LICENSED CLINICAL PSYCHOTHERAPIST) |
| Authorized Official Contact | 3166361188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy M.jacobs, Llc 7807 E Funston St Wichita KS 67207-3123 Ph: (316) 636-1188 | Amy M.jacobs, Llc 7807 E Funston St Wichita KS 67207-3123 Ph: (316) 636-1188 |
| NPI Number | 1770842114 |
|---|---|
| Provider Enumeration Date | 05/04/2012 |
| Last Update Date | 05/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770842114 | NPI | - | NPPES |
| 1154303659 | Other | KS | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 188 (Kansas) | Primary |
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