Individual provider · Type 1 NPI
Andrew James Jacobchick, BA, SAC-IT
Addiction (Substance Use Disorder) Counselor · Kiel, WI
NPI number
1265068415
Active
Practice location
820 Hwy 67
Kiel, WI 53042-1627
Fax (920) 894-1373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1265068415
Andrew James Jacobchick, BA, SAC-IT's National Provider Identifier is 1265068415, issued on Mar 19, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kiel, WI. The record was last updated on Mar 19, 2020.