Individual provider · Type 1 NPI

Michelle Jacob, CASAC

Addiction (Substance Use Disorder) Counselor · Niagara Falls, NY

NPI number 1417035874 Active

Practice location

6520 Niagara Falls Blvd
Niagara Falls, NY 14304-1550

Call (716) 831-1840 Map

Fax (716) 831-1839

Mailing address

3020 Bailey Ave
Buffalo, NY 14215-2814

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X8370 (NY)

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

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About NPI 1417035874

Michelle Jacob, CASAC's National Provider Identifier is 1417035874, issued on Nov 2, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Niagara Falls, NY. The record was last updated on Jul 8, 2007.