Individual provider · Type 1 NPI

Ronald Kieth Jacobson Iii, RADT

Addiction (Substance Use Disorder) Counselor · Garden Grove, CA

NPI number 1003768623 Active

Practice location

12781 Josephine St
Garden Grove, CA 92841-4622

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRT1428940126 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003768623

Ronald Kieth Jacobson Iii, RADT's National Provider Identifier is 1003768623, issued on Feb 14, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Garden Grove, CA. The record was last updated on Feb 14, 2026.