JACOB ANDERSON LLC NPI 1164198693

NPI Information

Jacob Anderson, LLC is a counselor in Pontiac, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jacob Anderson, LLC NPI is 1164198693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

114 ORCHARD LAKE RD
PONTIAC, MI
ZIP 48341-244
Phone: (248) 858-7766

The enumeration date for this NPI number is 8/16/2021 and was last updated on 7/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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