National Provider Identifier
Paul G Jacoby, LCSW
Paul G Jacoby, LCSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 460-0066.
Source: public NPPES record, last updated December 07, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1063708360
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- June 24, 2011
- Last Updated
- December 07, 2022
Practice Location
- 36 Winthrop St
- Rochester, NY 14607-1326
Phone: (585) 460-0066
Specialties
- Mental Health Counselor (101YM0800X)
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Full Record
- NPI
- 1063708360
- Entity Type
- Individual
- Last Name
- Jacoby
- First Name
- Paul
- Middle Name
- G
- Credential
- LCSW
- Mailing Street Address
- 36 Winthrop St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-1326
- Mailing Country
- US
- Mailing Phone
- (585) 460-0066
- Mailing Fax
- (585) 460-0038
- Practice Street Address
- 36 Winthrop St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-1326
- Practice Country
- US
- Practice Phone
- (585) 460-0066
- Practice Fax
- (585) 461-0038
- Enumeration Date
- June 24, 2011
- Last Updated
- December 07, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 07, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)