Dr. Jacob Wasonga's National Provider Identifier (NPI) Details
Dr. Jacob Wasonga, Ph.D, LMFT
NPI: 1861043713
Enumeration Date: 2019-09-23
Last updated: 2020-12-14
Sole Proprietor: YES
Status: active
Postal Address: 1124 GALVESTON AVE STE B, FORT WORTH, TX
Phone: 210-420-8117
Primary Practice Address: PO BOX 592732, SAN ANTONIO, TX
Practice's phone: 817-609-2289