Individual
MRS. GAIL JEAN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1650 HWY 395 SUITE 202C, MINDEN, NV 89423
(775) 781-9916
(775) 265-1841
Mailing address
660 STONES THROW RD, GARDNERVILLE, NV 89410-7809
(775) 781-9916
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17533
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17533
LCSW
CA
01
—
7800-C
LCSW
NV
Enumeration date
10/30/2007
Last updated
02/17/2020
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