Individual
MADELINE J JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3511 CAMINO DEL RIO S STE 303, SAN DIEGO, CA 92108-4043
(678) 491-4485
Mailing address
3511 CAMINO DEL RIO S STE 303, SAN DIEGO, CA 92108-4043
(678) 491-4485
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17908
CA
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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