Individual
ART JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
2317 W 3RD AVE, SPOKANE, WA 99201-5809
(509) 624-1244
Mailing address
PO BOX 4627, SPOKANE, WA 99220-0627
(509) 624-1244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005556
WA
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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