Individual provider · Type 1 NPI

Tammi Jacob, LADC

Addiction (Substance Use Disorder) Counselor · Cheshire, CT

NPI number 1306717574 Active

Practice location

325 S Main St Ste 2-4
Cheshire, CT 06410-3159

Mailing address

325 S Main St Ste 3
Cheshire, CT 06410-3159

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1630 (CT)

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

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About NPI 1306717574

Tammi Jacob, LADC's National Provider Identifier is 1306717574, issued on Sep 12, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cheshire, CT. The record was last updated on Sep 12, 2025.