Individual
AMANDA JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 LUELLA LN, FOLSOM, CA 95630-4035
(530) 263-0378
Mailing address
302 LUELLA LN, FOLSOM, CA 95630-4035
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
CA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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