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Jacob Michael Carlock, CPFS, QBHA

Case Manager/Care Coordinator in Lakewood, CO. Individual provider (NPI-1).

NPI number1699684209
StatusActive
Last updated in NPPESSep 2, 2026

Details

NPI
1699684209
Entity type
Individual (NPI-1)
Name
Mr. Jacob Michael Carlock
Credential
CPFS, QBHA
Sex
Male
Sole proprietor
No
Enumeration date
Sep 2, 2026
Certification date
Sep 2, 2026
Last updated
Sep 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator–COYes
175T00000X Peer Specialist–CO

Practice location

5400 W Cedar Ave
Lakewood, CO 80226-2429

Phone 719-464-3784

Mailing address

5400 W Cedar Ave
Lakewood, CO 80226-2429

Phone 719-420-1347

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