Individual
DANA JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAP 202
Contact information
Practice address
1440 WILKINS CIR, CASPER, WY 82601-1336
(307) 237-9583
Mailing address
231 S WILSON ST, CASPER, WY 82601-2941
(307) 265-3791
(307) 265-4480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP-202
WY
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAPA-073
WY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/20/2021
Last updated
12/01/2023
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