Individual
JACOB JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADAC II
Contact information
Practice address
3520 W TWO MILE HOUSE RD, COLUMBUS, IN 47201-9242
(812) 558-0574
Mailing address
316 W WALNUT ST APT 113, GREENSBURG, IN 47240-3418
(317) 600-9670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C2-51581
IN
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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