Individual
JACOB MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LAC
Contact information
Practice address
510 DUDLEY ST, LAKEWOOD, CO 80226-1158
(720) 263-1397
Mailing address
510 DUDLEY ST, LAKEWOOD, CO 80226-1158
(720) 263-1397
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001340
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09929318
CO
Other
Enumeration date
08/23/2016
Last updated
07/17/2025
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