Individual
MR. BRIAN PAUL JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
339 S MAIN ST, SEBASTOPOL, CA 95472-4208
(707) 829-5474
(707) 823-2896
Mailing address
8850 STORI LN, SEBASTOPOL, CA 95472-2462
(707) 829-5474
(707) 823-2896
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS20203
CA
Other
Enumeration date
07/26/2006
Last updated
02/19/2024
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