Individual provider · Type 1 NPI

Stephanie Jacobsen

Addiction (Substance Use Disorder) Counselor · Antioch, CA

NPI number 1124823539 Active

Practice location

1915 D St
Antioch, CA 94509-2571

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 1124823539

Stephanie Jacobsen's National Provider Identifier is 1124823539, issued on Feb 18, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Antioch, CA. The record was last updated on Feb 18, 2025.