Individual
JACOB BOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
11 GRAHAM DR, ATHENS, OH 45701-1430
(800) 321-8293
(800) 321-8293
Mailing address
PO BOX 132, ATHENS, OH 45701-0132
(800) 321-8293
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
165253
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.171912
OH
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/14/2017
Last updated
04/14/2026
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