Provider Demographics
NPI:1245695261
Name:JACOBS, MONICA LYNN (MED, LPC)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:LYNN
Last Name:JACOBS
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:LYNN
Other - Last Name:LENZI-TRUITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, MED
Mailing Address - Street 1:300 S JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-2416
Mailing Address - Country:US
Mailing Address - Phone:724-543-2941
Mailing Address - Fax:
Practice Address - Street 1:793 OLD RTE 119 HWY N.
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-1372
Practice Address - Country:US
Practice Address - Phone:724-465-5576
Practice Address - Fax:724-465-6379
Is Sole Proprietor?:No
Enumeration Date:2015-12-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor