MRS. Brenda Lavonne Jacob MS, CCDC III, LAT

  • NPI 1780812214
According to our database, the NPI number for MRS. Brenda Lavonne Jacob MS, CCDC III, LAT is 1780812214 and activated since 14 years ago. MRS. Brenda Lavonne Jacob MS, CCDC III, LAT is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 113 S Gillette Ave, Gillette, WY 82716. You can also contact MRS. Brenda Lavonne Jacob MS, CCDC III, LAT via telephone number is (307) 685-6982. Provider NPI information was last updated on 06/23/2009.

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Overview of MRS. Brenda Lavonne Jacob MS, CCDC III, LAT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/23/2009
  • Last updated: 06/23/2009

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 99111065
  • License State: SD

Provider Mailing Address

  • Address: 701 Fairway Dr
    Gillette, WY 82718
  • Phone: 307-689-0666
  • Fax:

Provider Practice Location

  • Address: 113 S Gillette Ave
    Gillette, WY 82716
  • Phone: 307-685-6982
  • Fax: 307-685-8054

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 99111065
  • License State: SD
  • Switch: No

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MRS. Brenda Lavonne Jacob MS, CCDC III, LAT?
  • A: The npi number for MRS. Brenda Lavonne Jacob MS, CCDC III, LAT is 1780812214.
  • Q: What are MRS. Brenda Lavonne Jacob MS, CCDC III, LAT's specialties?
  • A: MRS. Brenda Lavonne Jacob MS, CCDC III, LAT's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MRS. Brenda Lavonne Jacob MS, CCDC III, LAT?
  • A: The medical license number for MRS. Brenda Lavonne Jacob MS, CCDC III, LAT is 99111065 and issued in SD in USA.
  • Q: Where is MRS. Brenda Lavonne Jacob MS, CCDC III, LAT practice location?
  • A: MRS. Brenda Lavonne Jacob MS, CCDC III, LAT is practicing at 113 S Gillette Ave, Gillette, WY 82716.
  • Q: How to contact MRS. Brenda Lavonne Jacob MS, CCDC III, LAT?
  • A: You can contact MRS. Brenda Lavonne Jacob MS, CCDC III, LAT via 307-685-6982.