Dolores P, Jacoby
Pastoral Counselor Addiction Counselor (Substance Use Disorder)
716 Van Buren St
Port Townsend
, Washington 98368-8051
Dolores P, Jacoby
Pastoral Counselor Addiction Counselor (Substance Use Disorder)
716 Van Buren St
Port Townsend
, Washington 98368-8051
(561) 385-8420
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Dolores P, Jacoby
- 716 Van Buren St
- Port Townsend, WA
- Zip : 98368-8051
- Phone : (561) 385-8420
Second Address
- Dolores P, Jacoby
- 716 Van Buren St
- Port Townsend, WA
- Zip : 98368-8051
- Phone : (561) 385-8420
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Is Dolores P, Jacoby a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 604151293 | WA |
| Y | 101YP1600X | Pastoral Counselor | 604151293 |
National Provider Identifier
| NPI | 1336667922 |
|---|---|
| Provider Name | Dolores P, Jacoby |
| First Address | Port Townsend, WA 98368-8051 |
| Second Address | Port Townsend, WA 98368-8051 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2017 |
| Last Update Date | 02/09/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 604151293 | TRIWEST, VETERAN'S ADMINISTRATION (01) | WA |
| 604151293 | VETERAN'S ADMINISTRATION (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.