Individual provider · Type 1 NPI
Jacob Marshall Qualls, LCADC
Addiction (Substance Use Disorder) Counselor · Winchester, KY
NPI number
1083491575
Active
Practice location
1300 W Lexington Ave
Winchester, KY 40391-1154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 299921 (KY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
4 other providers at this address
- Ronald Fulkerson MD PSCPediatrics Physician Winchester, KY NPI 1982861019
- Winchester Treatment Services, LLCMethadone Clinic Winchester, KY NPI 1548962376
- Michael Jeffrey Perlmutter, MDPulmonary Disease Physician Winchester, KY NPI 1407808140
- Ronald L. Fulkerson, MD PSCPediatrics Physician Winchester, KY NPI 1407991011
Other addiction (substance use disorder) counselor providers in Winchester
About NPI 1083491575
Jacob Marshall Qualls, LCADC's National Provider Identifier is 1083491575, issued on Sep 11, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Winchester, KY. The record was last updated on Sep 12, 2025.