JACOB VINCENT BOURGET
NPI 1356099543
Counselor - Mental Health in Zanesville, OH
Active since March 16, 2022
About Jacob Vincent Bourget NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB VINCENT BOURGET (NPI 1356099543) is an individual mental health provider in Zanesville, Ohio and active in the NPI registry since March 2022.
NPPES Registry Identity
NPI1356099543
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB VINCENT BOURGET
Location Address4040 STONE RIDGE RDZanesville, OH 43701-0501
Mailing Address4040 Stone Ridge RdZanesville, OH 43701-0501 · (740) 312-1234
Phone(740) 312-1234
Sole ProprietorNo
Enumeration DateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1356099543 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4040 STONE RIDGE RD, Zanesville, OH 43701
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356099543, enumerated as an "individual" on March 16, 2022.
The provider is located at 4040 STONE RIDGE RD ZANESVILLE, OH 43701 and the phone number is (740) 312-1234.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.