Individual
ROBERT C JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 2ND AVENUE WEST N STE 101, KALISPELL, MT 59901-4069
(406) 890-2570
Mailing address
285 2ND AVENUE WEST N STE 101, KALISPELL, MT 59901-4069
(406) 890-2570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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