Provider Demographics
NPI:1326916263
Name:KELSEY, JACOBIE DENISE
Entity type:Individual
Prefix:
First Name:JACOBIE
Middle Name:DENISE
Last Name:KELSEY
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AAMU. DEPT. OF SOCIAL WORK
Mailing Address - Street 2:SUITE 130, BUCHANAN HALL
Mailing Address - City:NORMAL
Mailing Address - State:AL
Mailing Address - Zip Code:35762
Mailing Address - Country:US
Mailing Address - Phone:256-937-8263
Mailing Address - Fax:
Practice Address - Street 1:AAMU. DEPT. OF SOCIAL WORK
Practice Address - Street 2:SUITE 130, BUCHANAN HALL
Practice Address - City:NORMAL
Practice Address - State:AL
Practice Address - Zip Code:35762
Practice Address - Country:US
Practice Address - Phone:256-937-8263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health