TRACY JACOBSEN

RIVERSIDE, CA
NPI1144593237
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-02-20
Last Update Date2012-02-20
Business Address
-- TRACY JACOBSEN
3757 ELIZABETH ST
RIVERSIDE, CA 92506-2508
Phone number: 951-216-7300
Mailing Address
-- TRACY JACOBSEN
PO BOX 549
LAKE ELSINORE, CA 92531-0549
Phone number: 951-216-7300
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