National Provider Identifier
Michelle Jacob, CASAC
Michelle Jacob, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Niagara Falls, NY and a listed phone number of (716) 831-1840.
Profile Overview
- NPI
- 1417035874
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- November 02, 2006
- Last Updated
- July 08, 2007
Practice Location
- 6520 Niagara Falls Blvd
- Niagara Falls, NY 14304-1550
Phone: (716) 831-1840
Mailing Address
- 3020 Bailey Ave
- Buffalo, NY 14215-2814
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1417035874
- Entity Type
- Individual
- Last Name
- Jacob
- First Name
- Michelle
- Credential
- CASAC
- Mailing Street Address
- 3020 Bailey Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-2814
- Mailing Country
- US
- Mailing Phone
- (716) 831-1800
- Mailing Fax
- (716) 831-1818
- Practice Street Address
- 6520 Niagara Falls Blvd
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14304-1550
- Practice Country
- US
- Practice Phone
- (716) 831-1840
- Practice Fax
- (716) 831-1839
- Enumeration Date
- November 02, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 8370 (NY, Casac)