Individual provider · Type 1 NPI

Dana Jacoby, CAP 202

Addiction (Substance Use Disorder) Counselor · Casper, WY

NPI number 1861082166 Active

Practice location

1440 Wilkins Cir
Casper, WY 82601-1336

Call (307) 237-9583 Map

Mailing address

231 S Wilson St
Casper, WY 82601-2941

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCAP-202 (WY)
Addiction (Substance Use Disorder) Counselor 101YA0400XCAPA-073 (WY)

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

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About NPI 1861082166

Dana Jacoby, CAP 202's National Provider Identifier is 1861082166, issued on Jan 20, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Casper, WY. The record was last updated on Dec 1, 2023.