Individual
ERICA NICOLE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
14976 RANCHERO RD, HESPERIA, CA 92345-4156
(760) 792-0406
Mailing address
14976 RANCHERO RD, HESPERIA, CA 92345-4156
(760) 792-0406
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
APCC16707
CA
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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