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MRS. BRENDA LAVONNE JACOB MS, CCDC III, LAT
NPI 1780812214
Counselor - Addiction (Substance Use Disorder) in Gillette, WY

Active since June 23, 2009
113 S GILLETTE AVE, GILLETTE, WY 82716(307) 685-6982(307) 685-8054 Get Directions Write a Review

NPPES record last updated: June 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Brenda Lavonne Jacob Ms, Ccdc Iii, Lat NPPES

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

MRS. BRENDA LAVONNE JACOB MS, CCDC III, LAT (NPI 1780812214) is an individual addiction (substance use disorder) provider in Gillette, Wyoming, licensed in Wyoming (LAT-270) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1780812214
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. BRENDA LAVONNE JACOBCredential: MS, CCDC III, LAT
Location Address113 S GILLETTE AVEGillette, WY 82716-3740
Mailing Address701 Fairway DrGillette, WY 82718-7605 · (307) 689-0666
Phone(307) 685-6982
Fax(307) 685-8054
Sole ProprietorYes
Enumeration DateJune 23, 2009
✔ NPI 1780812214 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
Licenses✔ Licensed in WY · LAT-270✔ Licensed in SD · 99111065
113 S GILLETTE AVE, Gillette, WY 82716
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Other Providers at the Same Location NPPES 6

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

WOJCIECH ZOLCIK, M.D., P.C.
Psychiatry & Neurology (Psychiatry)
113 S GILLETTE AVE, SUITE 200
GILLETTE, WY 82716
Campbell County (402) 202-7761
H.O.P.E. COUNSELING SERVICES LLC
Point of Service
113 S GILLETTE AVE, 216
GILLETTE, WY 82716
Campbell County (307) 689-9090
MS. TINA DENISE LAWSON ED.S.
Counselor (Professional)
113 S GILLETTE AVE, SUITE #203
GILLETTE, WY 82716
Campbell County (307) 685-6982
EDEN MARIE WEST PCSW
Counselor (Mental Health)
113 S GILLETTE AVE, SUITE 203
GILLETTE, WY 82716
Campbell County (307) 685-6982
PEACEFUL REHABILITATION LLC
Counselor (Professional)
113 S GILLETTE AVE, SUITE 210
GILLETTE, WY 82716
Campbell County (307) 363-4720
COURAGE TO CHANGE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
113 S GILLETTE AVE, STE 200
GILLETTE, WY 82716
Campbell County (307) 756-2956

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 Brenda Jacob's NPI number?

The NPI number for Brenda Jacob is 1780812214. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Where is Brenda Jacob located?

Brenda Jacob practices at 113 S Gillette Ave, Gillette, WY 82716. The listed phone number is (307) 685-6982.

What is Brenda Jacob'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 Brenda Jacob was last updated on June 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.