Mr. Jacob M Bounds
Addiction Psychologist (Substance Use Disorder) Clinical Social Worker
1109 Jefferson Rd Ste C
South Charleston
, West Virginia 25309-8815
Mr. Jacob M Bounds
Addiction Psychologist (Substance Use Disorder) Clinical Social Worker
1109 Jefferson Rd Ste C
South Charleston
, West Virginia 25309-8815
(304) 989-1290
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Mr. Jacob M Bounds
- 1234 Stone Rd Apt A
- Charleston, WV
- Zip : 25314-1881
- Phone : (304) 989-1290
Second Address
- Mr. Jacob M Bounds
- 1109 Jefferson Rd Ste C
- South Charleston, WV
- Zip : 25309-8815
- Phone : (877) 338-2725
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
| Y | 1041C0700X | Clinical Social Worker | BP00945821 | WV |
| N | 1041C0700X | Clinical Social Worker | SW062015550 | WV |
National Provider Identifier
| NPI | 1154921799 |
|---|---|
| Provider Name | Mr. Jacob M Bounds |
| First Address | Charleston, WV 25314-1881 |
| Second Address | South Charleston, WV 25309-8815 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/10/2020 |
| Last Update Date | 01/02/2021 |
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.