MRS. BRENDA JACOB, MS, CCDC III, LAT

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1780812214

Practice Address

113 S GILLETTE AVE
Gillette, WY 82716

Phone: (307) 685-6982

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 99111065 (SD)

Frequently Asked Questions

NPI 1780812214 is the National Provider Identifier for MRS. BRENDA JACOB, MS, CCDC III, LAT, a Counselor - Addiction (Substance Use Disorder) provider located in Gillette, WY. This NPI was enumerated on June 23, 2009.
MRS. BRENDA JACOB, MS, CCDC III, LAT practices at 113 S GILLETTE AVE, Gillette, WY 82716.

Quick Facts

NPI
1780812214
Type
Individual
Enumerated
Jun 23, 2009
Last Updated
Jun 23, 2009

Nearby Providers