Brian Jacobs, Licensed Clinical Social Worker, PC

NPI #1417712456 in Sebastopol, California

Provider Information

NPI Number: 1417712456
Entity Type: Organization
Organization Name: Brian Jacobs, Licensed Clinical Social Worker, PC
Primary Specialty: Counselor
Enumeration Date: Feb 19, 2024
Last Updated: Feb 19, 2024

Practice Location

Address: 339 S MAIN ST
City: Sebastopol
State: California
ZIP Code: 95472-4208
Phone: (707) 829-5474

Authorized Official

Name: MR. BRIAN JACOBS, LCSW
Title: OWNER
Phone: (707) 829-5474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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