JACOB TELEGO NPI 1154712693

NPI Information

NPI: 1154712693
Provider Name: JACOB TELEGO
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
8440 MARKET ST
BOARDMAN, OH
ZIP 44512
Phone: (330) 965-9999
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Jacob Telego is a professional counselor in Boardman, OH. Jacob Telego NPI is 1154712693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8440 MARKET ST
BOARDMAN, OH
ZIP 44512-702
Phone: (330) 965-9999
Fax: (330) 757-0000

The enumeration date for this NPI number is 2/5/2015 and was last updated on 3/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	C.1300359	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3033390	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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