Individual
ANITA JOY JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
27001 LA PAZ RD STE 403, MISSION VIEJO, CA 92691-5529
(949) 306-1512
Mailing address
27001 LA PAZ RD STE 403, MISSION VIEJO, CA 92691-5529
(949) 306-1512
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC 43525
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFC 43525
THERAPIST
CA
Enumeration date
10/10/2006
Last updated
02/22/2019
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