Individual
DEVONNA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3081 TEAGARDEN ST, SAN LEANDRO, CA 94577-5720
(510) 347-4620
Mailing address
3081 TEAGARDEN ST, SAN LEANDRO, CA 94577-5720
(510) 347-4620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
11/22/2013
Last updated
09/11/2019
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