Individual provider · Type 1 NPI

Keith Eric Jacobs, BA, CMII

Addiction (Substance Use Disorder) Counselor · Oklahoma City, OK

NPI number 1992160295 Active

Practice location

2617 General Pershing Blvd
Oklahoma City, OK 73107-6437

Fax (405) 858-1770

Mailing address

PO Box 12978
Oklahoma City, OK 73157-2978

Other practice locations

  • 1216 SW 17th St, Oklahoma City, OK 73108-7214 · (405) 414-4286

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1992160295

Keith Eric Jacobs, BA, CMII's National Provider Identifier is 1992160295, issued on Dec 31, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oklahoma City, OK. The record was last updated on Mar 17, 2018.