Individual
ANDRES JACOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 E CENTER ST, ANAHEIM, CA 92805-3457
(714) 780-0750
Mailing address
1901 E CENTER ST, ANAHEIM, CA 92805-3457
(714) 780-0750
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF76398
CA
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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