| Dr Patrice Alana Jacob, PHD | |
|
1361 S 15th Way, Ridgefield, WA 98642-7826 | |
| (360) 643-9217 | |
| (503) 678-9751 |
| Full Name | Dr Patrice Alana Jacob |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1361 S 15th Way, Ridgefield, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669919148 | NPI | - | NPPES |
| 2082041 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MC60704526 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrice Alana Jacob, PHD 1361 S 15th Way, Ridgefield, WA 98642-7826 Ph: (360) 643-9217 | Dr Patrice Alana Jacob, PHD 1361 S 15th Way, Ridgefield, WA 98642-7826 Ph: (360) 643-9217 |
Sarah N Wasilk, CP60200272 Counselor Medicare: Not Enrolled in Medicare Practice Location: 888 S Hillhurst Rd, Ridgefield, WA 98642 Phone: 360-887-6060 | |
Denise Wilson, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 888 S Hillhurst Rd, Ridgefield, WA 98642 Phone: 360-887-6060 Fax: 360-727-3638 | |
Justin William Rinta, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2018 S Taverner Dr, Ridgefield, WA 98642 Phone: 360-798-9685 | |
Janet Bentley-jones, SUDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 21810 Ne 37th Ave, Ridgefield, WA 98642 Phone: 360-910-8888 Fax: 360-397-7477 | |
Mrs. Linda Linnea Goode Miller, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3710 S Star View Loop, Ridgefield, WA 98642 Phone: 360-336-0467 | |
Mr. Todd R Leguillon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18301 Nw 41st Ave, Ridgefield, WA 98642 Phone: 360-771-8967 | |
Mrs. Lindsay Harris, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 888 S Hillhurst Rd, Ridgefield, WA 98642 Phone: 360-857-0007 |