Individual
DR. CARRIE ELIZABETH JACOBS X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PSYD, CCS
Contact information
Practice address
17335 TOQUET DR, ENCINO, CA 91316-3944
(818) 419-4582
Mailing address
17335 TOQUET DR, ENCINO, CA 91316-3944
(818) 419-4582
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
—
106H00000X
Marriage & Family Therapist
31202
CA
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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