Individual provider · Type 1 NPI

Ryan Jacobs, CADC-CAS

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1154796209 Active

Practice location

3217 N Eastern Ave
Los Angeles, CA 90032

Call (213) 625-5009 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC037840716 (CA)

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

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About NPI 1154796209

Ryan Jacobs, CADC-CAS's National Provider Identifier is 1154796209, issued on Dec 1, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 3, 2020.