Individual provider · Type 1 NPI

Candice Lee Jacobs, CDC I

Addiction (Substance Use Disorder) Counselor · Kodiak, AK

NPI number 1609432004 Active

Practice location

3449 E Rezanof Dr
Kodiak, AK 99615-6952

Call (907) 486-9800 Map

Other practice locations

  • 1318 Alaska Highway, Tok, AK 99780 · (907) 486-9800

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1609432004

Candice Lee Jacobs, CDC I's National Provider Identifier is 1609432004, issued on May 13, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kodiak, AK. The record was last updated on Jul 20, 2022.