Healthcare Provider Details

I. General information

NPI: 1568385912
Provider Name (Legal Business Name): JACOB FAMILY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 REMINGTON ST
FORT COLLINS CO
80524-3332
US

IV. Provider business mailing address

729 REMINGTON ST
FORT COLLINS CO
80524-3332
US

V. Phone/Fax

Practice location:
  • Phone: 970-484-8427
  • Fax: 970-482-8713
Mailing address:
  • Phone: 970-484-8427
  • Fax: 970-482-8713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DAMOND DOTSON
Title or Position: BILLING MANAGER
Credential: PHD, LMFT
Phone: 970-576-1717