Individual provider · Type 1 NPI

Keith John Jacob

Marriage & Family Therapist · Loma Linda, CA

NPI number 1780574756 Active

Practice location

25451 Cole St Apt 3
Loma Linda, CA 92354-3183

Call (951) 722-1708 Map

Mailing address

25925 Barton Rd Unit 948
Loma Linda, CA 92354-5645

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X155178 (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 1780574756

Keith John Jacob's National Provider Identifier is 1780574756, issued on Jul 9, 2025. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 9, 2025.