Individual
ANDREW JAMES JACOBCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, SAC-IT
Contact information
Practice address
820 HWY 67, KIEL, WI 53042-1627
(920) 797-4457
(920) 894-1373
Mailing address
820 HWY 67, KIEL, WI 53042-1627
(920) 797-4457
(920) 894-1373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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