| Doctor Name: | MS. CHRISTY FLANNAGIN JACOB |
| NPI Number: | 1366624538 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., LPC, NCC, BCC |
| License Number: | 2542 |
| Business Practice Address: | 113 2nd Ave Se Suite 4 Decatur, AL - 356012315 |
| Business Phone Number: | 2568222375 |
| Business Fax Number: | 2568222375 |
| Mailing Address: | 113 2nd Ave Se, Suite 4 DECATUR |
| State: | AL |
| Postal Code: | 356012315 |
| Phone Number: | 2568222375 |
| Fax Number: | 2568222375 |
| NPI Enumeration Date: | 11/29/2007 |
| NPI Last Update Date: | 11/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 2542 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| 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 |