person
Dr. Susan M. Jacob, PHD
Professional Counselor in Newport Beach, California
NPI 1245246503

Susan M. Jacob is a Professional Counselor based in Newport Beach, CA and is specialized in Professional. Susan M. Jacob practices in Newport Beach, CA and has the professional credentials of PHD. The NPI Number for Susan M. Jacob is 1245246503 and holds a License No. MFT25105 (California).

The current practice location address for Susan M. Jacob is 1101 Dove St, Newport Beach, CA and can be reached out via phone at 949-851-5022 and via fax at 949-851-5123.

Location: 1101 Dove St, Newport Beach, CA, 92660-2839
person
Provider Profile Details
NPI Number
1245246503
Provider Name
Susan M. Jacob
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1101 Dove St, Newport Beach, CA, 92660-2839
Phone Number
949-851-5022
Fax Number
949-851-5123
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1101 Dove St
City
State
Zip
92660-2839
Phone Number
949-851-5022
Fax Number
949-851-5123
person
Provider Business Mailing Address Details
Address
1101 Dove St
City
State
Zip
92660-2839
Phone Number
949-851-5022
Fax Number
949-851-5123
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
MFT25105 (California)
Definition
Definition to come...
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