-- JACOB COMSTOCK --
Individual Provider (NPI-1)
Active
Counselor, Addiction (Substance Use Disorder)
Provider Information
- NPI Number
1386039675- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 412 W PACIFIC ST, BLACKFOOT, ID, 832211726
- Phone
- (208) 201-1743
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
Primary License: ID #LCSW-34156