| Jacob House | |
|
2700 Youngfield St Ste 206 Lakewood CO 80215-7079 | |
| (303) 525-6141 | |
| (303) 986-5005 |
| Full Name | Jacob House |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 2700 Youngfield St Ste 206, Lakewood, Colorado |
| Authorized Official Name and Position | David Hope Mitchell (OWNER) |
| Authorized Official Contact | 3035256141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob House 2700 Youngfield St Ste 206 Lakewood CO 80215-7079 Ph: (303) 525-6141 | Jacob House 2700 Youngfield St Ste 206 Lakewood CO 80215-7079 Ph: (303) 525-6141 |
| NPI Number | 1447038591 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447038591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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