Individual provider · Type 1 NPI

Wendy Rebecca Jacobsen

Mental Health Counselor · Palo Alto, CA

NPI number 1174007306 Active

Practice location

375 Cambridge Ave
Palo Alto, CA 94306-1613

Mailing address

1400 College Ave
Palo Alto, CA 94306-1224

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAMFT108464 (CA)
Mental Health Counselor 101YM0800XNone listed

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About NPI 1174007306

Wendy Rebecca Jacobsen's National Provider Identifier is 1174007306, issued on Sep 24, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Palo Alto, CA. The record was last updated on Sep 24, 2018.