Jacob Comstock

NPI #1386039675 in Blackfoot, Idaho

Provider Information

NPI Number
1386039675
Entity Type
Individual
Name
Jacob Comstock
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Apr 2, 2015
Last Updated
Sep 28, 2015

Practice Location

Address
412 W PACIFIC ST
State
Idaho
ZIP Code
83221-1726
Phone
(208) 201-1743

Specialties & Taxonomy Codes

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

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