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MRS. CANDICE LEE JACOBS CDC I
NPI 1609432004
Counselor - Addiction (Substance Use Disorder) in Kodiak, AK

Active since May 13, 2019
3449 E REZANOF DR, KODIAK, AK 99615(907) 486-9800 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2022, May 13, 2019 (2 updates tracked since 2019).

About Mrs. Candice Lee Jacobs Cdc I NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CANDICE LEE JACOBS CDC I (NPI 1609432004) is an individual addiction (substance use disorder) provider in Kodiak, Alaska and active in the NPI registry since May 2019. She maintains a secondary practice location in Tok.

NPPES Registry Identity

NPI1609432004
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. CANDICE LEE JACOBSCredential: CDC I
Location Address3449 E REZANOF DRKodiak, AK 99615-6952
Mailing Address3449 E Rezanof DrKodiak, AK 99615-6952 · (907) 486-9800
Phone(907) 486-9800
Sole ProprietorNo
Enumeration DateMay 13, 2019
Last NPPES UpdateJuly 20, 20222 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
✔ NPI 1609432004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3449 E REZANOF DR, Kodiak, AK 99615
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Secondary Practice Location 1

Location 11318 Alaska HighwayTok, AK 99780 · Phone (907) 486-9800 ext. 2669

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KODIAK AREA NATIVE ASSOCIATION PHARMACY
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9860
JOANNE MARIE WARD CHA-P
Community Health Worker
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
MICHAEL HANDRICKS
Counselor
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9824
ALISON STARR PA-C
Physician Assistant
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
JORDAN BEARD
Counselor (Professional)
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 942-0672
MARGARET KAVANAUGH
Case Manager/Care Coordinator
3449 E REZANOF DR, INFANT LEARNING PROGRAM
KODIAK, AK 99615
Kodiak Island Borough (907) 486-1374
IRENE RAE NELSON
Community Health Worker
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
PAIGE BUER PA-C
Physician Assistant
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candice Jacobs's NPI number?

The NPI number for Candice Jacobs is 1609432004. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Where is Candice Jacobs located?

Candice Jacobs practices at 3449 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 486-9800.

What is Candice Jacobs's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Candice Jacobs was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.