Provider Demographics
NPI:1457188807
Name:MORROW, JACOB (NCC LMHC-INTERN)
Entity type:Individual
Prefix:
First Name:JACOB
Middle Name:
Last Name:MORROW
Suffix:
Gender:M
Credentials:NCC LMHC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 E 82ND ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98404-1023
Mailing Address - Country:US
Mailing Address - Phone:253-677-0408
Mailing Address - Fax:
Practice Address - Street 1:510 E 82ND ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98404-1023
Practice Address - Country:US
Practice Address - Phone:253-677-0408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health