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Individual

LANCE R JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APCC

Contact information

Practice address
1650 OREGON ST STE 216, REDDING, CA 96001-1757
(530) 206-5560
(530) 206-5556
Mailing address
1650 OREGON ST STE 216, REDDING, CA 96001-1757
(530) 206-5560
(530) 206-5556

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CA
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
07/10/2025
Last updated
07/10/2025
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