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

Jacob Marshall Qualls, LCADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1083491575

Jacob Marshall Qualls, LCADC is an Addiction (Substance Use Disorder) Counselor in Winchester, Kentucky. Licensed in Kentucky. Registered with an NPI since 2023.

Licensed in
KY
In the registry since
2023

Practice location Address checks out

1300 W Lexington Ave
Winchester, KY 40391-1154
Phone: (859) 287-1098
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 299921 (KY)

Record details

NPI number1083491575
Entity typeIndividual (Type 1)
GenderMale
Credentials LCADC
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

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