Individual provider · Type 1 NPI

Heather L. Jacoby, LADC

Addiction (Substance Use Disorder) Counselor · Oxford, ME

NPI number 1467749366 Active

Practice location

47 Pleasant St
Oxford, ME 04270-4273

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCAC4877 (ME)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLC5290 (ME)

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About NPI 1467749366

Heather L. Jacoby, LADC's National Provider Identifier is 1467749366, issued on Jun 30, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oxford, ME. The record was last updated on Dec 14, 2015.