SearchOklahomaPeer Specialist

Brant Jacobson

NPI 1851982441 · on the registry since 2021

Practice

Address
11680 S 153rd West Ave
Sapulpa, OK 74066
Phone
(830) 998-3547
Fax
(918) 512-6320
Organisation at this address
Lifegate Freedom Recovery Ministries, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
Peer Specialist
175T00000X
Also registered as
Religious Nonmedical Practitioner
Sex
Male
Record last updated
2023-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma