Brian Jacobo

NPI #1033741541 in Costa Mesa, California

Provider Information

NPI Number: 1033741541
Entity Type: Individual
Name: Brian Jacobo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Feb 12, 2020
Last Updated: Mar 12, 2020

Practice Location

Address: 301 VICTORIA ST
City: Costa Mesa
State: California
ZIP Code: 92627-1995
Phone: (949) 642-2734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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