Individual
MRS. CHELSEA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PARKMOOR AVE, 115, SAN JOSE, CA 95126-3797
(408) 971-9822
(408) 508-7747
Mailing address
1711 TANAGER AVE, #306, SAN LEANDRO, CA 94578-2088
(510) 372-6344
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/28/2016
Last updated
08/14/2017
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