JACOB COMSTOCK
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1386039675
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | LCSW-34156 (ID) |
Frequently Asked Questions
NPI 1386039675 is the National Provider Identifier for JACOB COMSTOCK, a Counselor - Addiction (Substance Use Disorder) provider located in Blackfoot, ID. This NPI was enumerated on April 2, 2015.
JACOB COMSTOCK practices at 412 W PACIFIC ST, Blackfoot, ID 83221.
Quick Facts
- NPI
- 1386039675
- Type
- Individual
- Enumerated
- Apr 2, 2015
- Last Updated
- Sep 28, 2015
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