Kristen Michelle Jacob

NPI #1710487525 in Kenton, Ohio

Provider Information

NPI Number: 1710487525
Entity Type: Individual
Name: Kristen Michelle Jacob
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Feb 19, 2018
Last Updated: Feb 19, 2018

Practice Location

Address: 775 E ELIZA ST
City: Kenton
State: Ohio
ZIP Code: 43326-1486
Phone: (419) 675-2243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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