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Dora Alicia Jacobo

Counselor, Mental Health in Chula Vista, CA. Individual provider (NPI-1).

NPI number1013636331
StatusActive
Last updated in NPPESAug 22, 2022

Details

NPI
1013636331
Entity type
Individual (NPI-1)
Name
Dora Alicia Jacobo
Sex
Female
Sole proprietor
No
Enumeration date
Aug 22, 2022
Certification date
Aug 22, 2022
Last updated
Aug 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Other names

  • Alicia Jacobo (Other Name)

Practice location

1196 Third Ave
Chula Vista, CA 91911-3131

Phone 619-427-4661 · Fax 619-426-7849

Mailing address

1196 Third Ave
Chula Vista, CA 91911-3131

Phone 619-427-4661 · Fax 619-426-7849

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