Individual provider · Type 1 NPI

Guadalupe Johanna Jacobo

Addiction (Substance Use Disorder) Counselor · Los Alamitos, CA

NPI number 1073106969 Active

Practice location

4388 Katella Ave
Los Alamitos, CA 90720-3565

Fax (562) 596-0058

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1073106969

Guadalupe Johanna Jacobo's National Provider Identifier is 1073106969, issued on Feb 11, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Alamitos, CA. The record was last updated on Feb 11, 2021.