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Individual
JACOB ADAL
Active
Individual
JACOB ADAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY28617
CA
103TA0700X
Adult Development & Aging Psychologist
PSY28617
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY28617
CA
103TC0700X
Clinical Psychologist
Primary
PSY28617
CA
103TC1900X
Counseling Psychologist
PSY28617
CA
103TF0000X
Family Psychologist
PSY28617
CA
103TP2701X
Group Psychotherapy Psychologist
PSY28617
CA
Other
Enumeration date
06/22/2010
Last updated
11/19/2020
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