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Organization

BRIAN JACOBS, LICENSED CLINICAL SOCIAL WORKER, PC

Active
Other names
Sonoma Life Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN JACOBS LCSW (OWNER)
(707) 829-5474
Entity
Organization

Contact information

Practice address
339 S MAIN ST, SEBASTOPOL, CA 95472-4208
(707) 829-5474
Mailing address
339 S MAIN ST, SEBASTOPOL, CA 95472-4208
(707) 829-5474

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/19/2024
Last updated
02/19/2024
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