Greg Jacobs, LICDC

NPI #1114176039 in Lima, Ohio

Provider Information

NPI Number
1114176039
Entity Type
Individual
Name
Greg Jacobs, LICDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LICDC
Enumeration Date
Sep 16, 2008
Last Updated
May 13, 2009

Practice Location

Address
530 S MAIN ST
City
Lima
State
Ohio
ZIP Code
45804-1240
Phone
(419) 222-1168

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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