Jacob Blaine Dale Watkins

NPI #1225992407 in Marysville, Ohio

Provider Information

NPI Number: 1225992407
Entity Type: Individual
Name: Jacob Blaine Dale Watkins
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Dec 12, 2025
Last Updated: Dec 12, 2025

Practice Location

Address: 729 S WALNUT ST
City: Marysville
State: Ohio
ZIP Code: 43040-1643
Phone: (937) 642-9555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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