Individual
MS. BETH JAKUBANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1611 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-2019
(805) 443-8619
Mailing address
1611 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-2019
(805) 443-8619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 28234
CA
1041S0200X
School Social Worker
LCS 28234
CA
Other
Enumeration date
08/20/2007
Last updated
06/04/2013
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