NPI 1083449151

Jacob Rooks, CAPRC

Practitioner Peer Specialist Martinsville, IN

Practice location

Address: 504 Grand Valley Blvd, Martinsville, IN 46151-5883
Phone: (640) 529-7531

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence CAPRC1-6044 (IN)

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Registry record

NPI: 1083449151
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Sep 2024
Record last updated: 6 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.