Individual provider · Type 1 NPI

Kristen Michelle Jacob

Peer Specialist · Kenton, OH

NPI number 1710487525 Active

Practice location

775 E Eliza St
Kenton, OH 43326-1486

Fax (419) 674-4661

Mailing address

5982 Rhoads Road
Kent, OH 44240

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone 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 1710487525

Kristen Michelle Jacob's National Provider Identifier is 1710487525, issued on Feb 19, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Kenton, OH. The record was last updated on Feb 19, 2018.