Individual provider · Type 1 NPI

Merrick L. Jacobson, BA

Addiction (Substance Use Disorder) Counselor · Hopkinsville, KY

NPI number 1790695641 Active

Practice location

2400 Russellville Rd
Hopkinsville, KY 42240-8095

Mailing address

105 Lancaster Dr
Hopkinsville, KY 42240-2565

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X303160 (KY)

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

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About NPI 1790695641

Merrick L. Jacobson, BA's National Provider Identifier is 1790695641, issued on Sep 11, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hopkinsville, KY. The record was last updated on Sep 11, 2026.