KEITH ERIC JACOBS

OKLAHOMA CITY, OK
NPI1992160295
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-12-31
Last Update Date2018-03-17
Business Address
Mr. KEITH ERIC JACOBS BA, CMII
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107-6437
Phone number: 405-858-1700
Mailing Address
Mr. KEITH ERIC JACOBS BA, CMII
PO BOX 12978
OKLAHOMA CITY, OK 73157-2978
Phone number: 405-858-1700
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