James Leland Jacobs in Vassalboro - Addiction (substance Use Disorder)
James Leland Jacobs - NPI 1588713978
James Leland Jacobs is a Addiction (substance Use Disorder) in Vassalboro, Maine. James Leland Jacobs practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for James Leland Jacobs is 1588713978. The last update date is 2022-07-17.
James Leland Jacobs's current location address is 123 Mudget Hill Rd, Vassalboro, Maine. You can contact this provider via phone number 2074454756. The mailing address for James Leland Jacobs is 123 Mudget Hill Rd, Vassalboro, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Leland Jacobs |
|---|---|
| Address | 123 Mudget Hill Rd, Vassalboro, Maine |
| Phone Number | 2074454756 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1588713978 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2022-07-17 |
Provider Mailing Address Detail
| Address | 123 Mudget Hill Rd |
|---|---|
| City | Vassalboro |
| State | Maine (ME) |
| Post Code | 49894305 |
| Phone Number | 2074454756 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
| Licence No | PS600 |
|
Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 143490000 | ME | -- |
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What is the unique 10-digit identifier code assigned to James Leland Jacobs by the Centers for Medicare & Medicaid Services?
The James Leland Jacobs has been issued the NPI (National Provider Identifier) 1588713978 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the James Leland Jacobs located?
The James Leland Jacobs is located at 123 Mudget Hill Rd, Vassalboro, ME 49894305.
What is the James Leland Jacobs's specialty and taxonomy code?
The James Leland Jacobs's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 103Ta0400X.
When did the James Leland Jacobs receive its 1588713978?
The James Leland Jacobs was issued its 1588713978 on 2007-01-09, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to James Leland Jacobs most recently updated or revised?
The information pertaining to James Leland Jacobs, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-17.