NPI 1154921799

Jacob M Bounds, MSWLGSW

Practitioner Clinical Social Worker South Charleston, WV

Practice location

Address: 1109 Jefferson Rd STE C, South Charleston, WV 25309-8815
Phone: (877) 338-2725
Mailing address: 1234 Stone Rd APT a, Charleston, WV 25314-1881

Registered specialties (3)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence BP00945821 (WV)

Other Social Worker providers in West Virginia →

Addiction (Substance Use Disorder) Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TA0400X

Other Psychologist providers in West Virginia →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence SW062015550 (WV)

Registry record

NPI: 1154921799
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Oct 2020
Record last updated: 1 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.