Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB COMSTOCK
Active Sole ProprietorJACOB COMSTOCK is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BLACKFOOT, Idaho. NPI 1386039675 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · BLACKFOOT, ID
Registration Details
- NPI Number
- 1386039675
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2015 (11.343160575017 yrs)
- Last Updated
- Sep 28, 2015
- License
-
LCSW-34156 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
412 W PACIFIC STBLACKFOOT, ID, 832211726Browse ID providers · Browse ZIP 83221
- Phone
- 2082011743
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BLACKFOOT, ID
| Name | Credential | NPI |
|---|---|---|
| BLAKE BARNEY | MS, ACADC | 1861835597 |
| MRS. KAITLYN DREW BISHARAT | LPC | 1376346411 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.