Christopher Dewayne Jacobs
Peer Specialist in Greensboro, NC. Individual provider (NPI-1).
NPI number1194639153
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1194639153
- Entity type
- Individual (NPI-1)
- Name
- Christopher Dewayne Jacobs
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2026
- Certification date
- Sep 29, 2026
- Last updated
- Sep 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | NC | Yes |
Practice location
1 Centerview Dr Ste 102Greensboro, NC 27407-3712
Phone 336-285-5204
Mailing address
4407 Crowne Lake Cir Apt 2aJamestown, NC 27282-7964
Phone 743-337-3139
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