Jacobs, Candice Lee

Jacobs, Candice Lee is an individual health care provider with primary practice located at 3449 E Rezanof Dr , Kodiak AK 99615-6952. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jacobs, Candice Lee can be contacted via phone (907) 486-9800.

Contact Information

Primary practice address
3449 E Rezanof Dr Kodiak AK 99615-6952
Phone: (907) 486-9800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Alaska

Profile Details

NPI number 1609432004
LBN Legal business name Jacobs, Candice Lee
Credentials CDC I
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2019
Last updated Jul 20th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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