Individual
GARY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
940 HAIGHT ST, SAN FRANCISCO, CA 94117-3107
(415) 487-5647
Mailing address
940 HAIGHT ST, SAN FRANCISCO, CA 94117-3107
(415) 487-5647
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000Y
CA
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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