Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Haley Jacob

Individual provider Prevention Professional · NPI 1659819076

Haley Jacob is a Prevention Professional in LA Crosse, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017
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Practice location Address checks out

1725 State St 126 Mitchell Hall
LA Crosse, WI 54601-3742
Phone: (216) 978-1173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence 1901-39 (WI)

Record details

NPI number1659819076
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2017
Last updated in NPPESFebruary 6, 2017
Mailing address18442 High Pkwy, Rocky River, OH 44116-2829