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

Richard Jacobson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699462853

Richard Jacobson is a Student in an Organized Health Care Education/Training Program in Middleburg Heights, Ohio. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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Practice location Address checks out

17951 Jefferson Park Rd Ste 100
Middleburg Heights, OH 44130-8439
Phone: (440) 879-8517
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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
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699462853
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2023
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address17951 Jefferson Park Rd Ste 100, Middleburg Heights, OH 44130-8439

Other providers in Middleburg Heights