ERNIE N JACOBSON

MODESTO, CA
NPI1902226665
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-04-21
Last Update Date2014-04-21
Business Address
-- ERNIE N JACOBSON
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
Mailing Address
-- ERNIE N JACOBSON
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
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