Back to Search

BRENDA JACOB, MS, CCDC III, LAT

MS, CCDC III, LAT

Addiction (Substance Use Disorder) Counselor

NPI: 1780812214Individual

Specialties, Licenses & Credentials

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

LAT-270(WY)99111065(SD)

Contact & Hours

Address
113 S GILLETTE AVE, SUITE #203
GILLETTE, WY 82716

Quick Facts

NPI
1780812214
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
1

Are you this provider?

Claim Your Profile