Doctor Name: | JACOB A DEFEE |
NPI Number: | 1063750404 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 715 N College Ave El Dorado, AR - 717304403 |
Business Phone Number: | 8708627921 |
Business Fax Number: | 8708642490 |
Mailing Address: | 715 N College Ave, EL DORADO |
State: | AR |
Postal Code: | 717304403 |
Phone Number: | 8708627921 |
Fax Number: | 8708642490 |
NPI Enumeration Date: | 01/18/2013 |
NPI Last Update Date: | 02/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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 |