GREG JACOBS

LIMA, OH
NPI1114176039
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  892563)
Enumeration Date2008-09-16
Last Update Date2009-05-13
Business Address
-- GREG JACOBS LICDC
530 S MAIN ST
LIMA, OH 45804-1240
Phone number: 419-222-1168
Mailing Address
-- GREG JACOBS LICDC
530 S MAIN ST
LIMA, OH 45804-1240
Phone number: 419-222-1168
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