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

Michelle Jacob, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417035874

Michelle Jacob, CASAC is an Addiction (Substance Use Disorder) Counselor in Niagara Falls, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

6520 Niagara Falls Blvd
Niagara Falls, NY 14304-1550
Phone: (716) 831-1840
Fax: (716) 831-1839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 8370 (NY)

Record details

NPI number1417035874
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3020 Bailey Ave, Buffalo, NY 14215-2814

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