Individual
DR. DAVID MARC JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4476 MARKET ST, VENTURA, CA 93003-7775
(310) 204-1666
Mailing address
4476 MARKET ST, VENTURA, CA 93003-7775
(310) 204-1666
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 24721
CA
Other
Enumeration date
07/30/2007
Last updated
07/20/2012
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