Individual provider · Type 1 NPI
Zhana A. Jacob
Peer Specialist · Roseburg, OR
NPI number
1699317230
Active
Practice location
1157 NW Troost St
Roseburg, OR 97471-1896
Mailing address
PO Box 802
Coos Bay, OR 97420-0148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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About NPI 1699317230
Zhana A. Jacob's National Provider Identifier is 1699317230, issued on Oct 15, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Roseburg, OR. The record was last updated on Oct 15, 2019.