CHAD E JACOBS

WICHITA, KS
NPI1699037671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  506)
Enumeration Date2012-06-14
Last Update Date2012-06-14
Business Address
-- CHAD E JACOBS LAC
3540 W DOUGLAS AVE
WICHITA, KS 67203-5455
Phone number: 316-943-2051
Mailing Address
-- CHAD E JACOBS LAC
900 E LAHARPE ST
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962
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