RONALD KIETH JACOBSON

GARDEN GROVE, CA
NPI1003768623
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RT1428940126)
Enumeration Date2026-02-14
Last Update Date2026-02-14
Business Address
RONALD KIETH JACOBSON radt
12781 JOSEPHINE ST
GARDEN GROVE, CA 92841-4622
Phone number: 657-251-0503
Mailing Address
RONALD KIETH JACOBSON radt
12781 JOSEPHINE ST
GARDEN GROVE, CA 92841-4622
Phone number: 657-251-0503