Search › California › 1041C0700X
Jeanna Jacobsen, LCSW
NPI 1669012043 · on the registry since 2020 · sole proprietor
Practice
- Address
- 3627 Kalsman Dr Unit 4
Los Angeles, CA 90016 - Phone
- (801) 842-2519
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
1041C0700X - Licence states on file
- UT, OR, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-13
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