SearchCalifornia1041C0700X

Estela Polo-Jacobsson, LCSW

NPI 1518055409 · on the registry since 2006 · sole proprietor

Practice

Address
12691 Granite Pass Rd
Riverside, CA 92503
Phone
(951) 454-4720
Fax
(951) 454-4720

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California