Individual provider · Type 1 NPI

Greg Jacobs, LICDC

Addiction (Substance Use Disorder) Counselor · Lima, OH

NPI number 1114176039 Active

Practice location

530 S Main St
Lima, OH 45804-1240

Fax (419) 222-2158

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X892563 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114176039

Greg Jacobs, LICDC's National Provider Identifier is 1114176039, issued on Sep 16, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lima, OH. The record was last updated on May 13, 2009.