NPI | 1124484340 |
---|---|
Professional Name | CHRISTIAN JON JACOBS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136637) |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2016-01-04 |
Last Update Date | 2023-01-03 |