Individual provider · Type 1 NPI
Jacob Comstock
Addiction (Substance Use Disorder) Counselor · Blackfoot, ID
NPI number
1386039675
Active
Practice location
412 W Pacific St
Blackfoot, ID 83221-1726
Mailing address
2420E 25th St
Idaho Falls, ID 83404-7549
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCSW-34156 (ID) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Blackfoot
About NPI 1386039675
Jacob Comstock's National Provider Identifier is 1386039675, issued on Apr 2, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Blackfoot, ID. The record was last updated on Sep 28, 2015.