Individual provider · Type 1 NPI

Maya Clotilde Jacobson

Marriage & Family Therapist · San Leandro, CA

NPI number 1154051191 Active

Practice location

400 Estudillo Ave Ste 100
San Leandro, CA 94577-4962

Mailing address

1700 Market St
Oakland, CA 94607-3330

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Marriage & Family Therapist Primary 106H00000X141610 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1154051191

Maya Clotilde Jacobson's National Provider Identifier is 1154051191, issued on Jun 13, 2022. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Leandro, CA. The record was last updated on Mar 28, 2025.