Sandra Lee Jacobs in Corona - Marriage & Family Therapist
Sandra Lee Jacobs - NPI 1639375207
Sandra Lee Jacobs is a Marriage & Family Therapist in Corona, California. Sandra Lee Jacobs practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Sandra Lee Jacobs is 1639375207. The last update date is 2007-07-08.
Sandra Lee Jacobs's current location address is 2055 Kellogg Ave, Corona, California. You can contact this provider via phone number 9518987153 and fax number 9518987178. The mailing address for Sandra Lee Jacobs is 2055 Kellogg Ave, Corona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Lee Jacobs |
|---|---|
| Address | 2055 Kellogg Ave, Corona, California |
| Phone Number | 9518987153 |
| Fax Number | 9518987178 |
| Sole Proprietor | N |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1639375207 |
|---|---|
| Provider Enumeration Date | 2007-06-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2055 Kellogg Ave |
|---|---|
| City | Corona |
| State | California (CA) |
| Post Code | 928793111 |
| Phone Number | 9518987153 |
| Fax Number | 9518987178 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFT21524 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identifier code issued to Sandra Lee Jacobs by the Centers for Medicare & Medicaid Services?
The Sandra Lee Jacobs has been assigned the NPI (National Provider Identifier) 1639375207. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Sandra Lee Jacobs is physically located?
The Sandra Lee Jacobs is physically situated at the following address: 2055 Kellogg Ave, Corona, CA, 928793111.
What is Sandra Lee Jacobs's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sandra Lee Jacobs's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639375207 to Sandra Lee Jacobs?
The Centers for Medicare & Medicaid Services originally issued the 1639375207 to Sandra Lee Jacobs on 2007-06-21.
When was the information related to Sandra Lee Jacobs most recently updated or refreshed?
The details pertaining to the Sandra Lee Jacobs, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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