Individual provider · Type 1 NPI

Chad E. Jacobs, LAC

Addiction (Substance Use Disorder) Counselor · Wichita, KS

NPI number 1699037671 Active

Practice location

3540 W Douglas Ave
Wichita, KS 67203-5455

Call (316) 943-2051 Map

Fax (316) 943-2192

Mailing address

900 E Laharpe St
Kirksville, MO 63501-4520

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X506 (KS)

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

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About NPI 1699037671

Chad E. Jacobs, LAC's National Provider Identifier is 1699037671, issued on Jun 14, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wichita, KS. The record was last updated on Jun 14, 2012.