MRS. Brenda Lavonne Jacob, MS, CCDC III, LAT
NPI #1780812214 in Gillette, Wyoming
Provider Information
- NPI Number
- 1780812214
- Entity Type
- Individual
- Name
- MRS. Brenda Lavonne Jacob, MS, CCDC III, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- MS, CCDC III, LAT
- Enumeration Date
- Jun 23, 2009
- Last Updated
- Jun 23, 2009
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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